LISA LOUISE RHEAULT LPN
NPI 1447682026
Licensed Practical Nurse in Fargo, ND

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 06, 2013

2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Female
Licensed Practical Nurse

About LISA RHEAULT

This page provides the complete NPI Profile along with additional information for Lisa Rheault, a provider established in Fargo, North Dakota with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1447682026 assigned on August 2013. The practitioner's primary taxonomy code is 164W00000X with license number L10529 (ND). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI: 1447682026 Verify this NPI
Provider Name: LISA LOUISE RHEAULT LPN
Gender: Female
Entity Type: Individual
Location Address: 2624 9TH AVE S FARGO, ND 58103
Location Phone: (701) 298-4500
Location Fax: (701) 298-4400
Mailing Address: 2624 9TH AVE S FARGO, ND 58103
Mailing Phone: (701) 298-4500
Mailing Fax: (701) 298-4400
Is Sole Proprietor?: No
Enumeration Date: 08-06-2013
Last Update Date: 08-06-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: L10529
License State: ND
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.