Provider Demographics
NPI:1336735554
Name:LANCASTER, AIMEE ELIZABETH (CRNA)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:ELIZABETH
Last Name:LANCASTER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:ELIZABETH
Other - Last Name:STORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10012 BUTTE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-7398
Mailing Address - Country:US
Mailing Address - Phone:903-918-0931
Mailing Address - Fax:
Practice Address - Street 1:7218 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2579
Practice Address - Country:US
Practice Address - Phone:940-293-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-13
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX838446163W00000X
TX1026303367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse