Daniel, Lisa Ann

Daniel, Lisa Ann is an individual health care provider with primary practice located at 2825 Randolph Rd , Charlotte NC 28211-1018. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Daniel, Lisa Ann can be contacted via phone (704) 337-1647.

Contact Information

Primary practice address
2825 Randolph Rd Charlotte NC 28211-1018
Phone: (704) 337-1647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 115157 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166512 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 46267 North Carolina

Profile Details

NPI number 1235190778
LBN Legal business name Daniel, Lisa Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 29th, 2018 - about 6 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 1235190778 NPPES
Virginia MEDICAID 010186161
Virginia MEDICAID 1235190778

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