Conner, Lisa Marie

Conner, Lisa Marie is an individual health care provider with primary practice located at 18077 River Rd Ste 104A , Noblesville IN 46062-8311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Conner, Lisa Marie can be contacted via phone (317) 674-0208.

Contact Information

Primary practice address
18077 River Rd Ste 104A Noblesville IN 46062-8311
Phone: (317) 674-0208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003895A Indiana

Profile Details

NPI number 1255605754
LBN Legal business name Conner, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2012
Last updated Mar 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255605754 NPPES
Indiana MEDICAID 201053310

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