Ellard, Lisa
Ellard, Lisa is an individual health care provider with primary practice located at 1890 Al Highway 157 Suite 300, Cullman AL 35058-3601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellard, Lisa can be contacted via phone (256) 737-8000.Contact Information
Primary practice address
1890 Al Highway 157 Suite 300
Cullman AL 35058-3601
Phone: (256) 737-8000
Fax: (256) 737-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 157047 | Alabama |
Profile Details
| NPI number | 1205934007 |
|---|---|
| LBN Legal business name | Ellard, Lisa |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 14th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205934007 | NPPES |
| Alabama | MEDICAID | 000046973 |
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