Gentile, Lisa Marie

Gentile, Lisa Marie is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 208, Indianapolis IN 46202-5109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gentile, Lisa Marie can be contacted via phone (317) 274-4715.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 208 Indianapolis IN 46202-5109
Phone: (317) 274-4715
Fax: (317) 274-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 28200203 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71006844 Indiana

Profile Details

NPI number 1548383524
LBN Legal business name Gentile, Lisa Marie
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 27th, 2021 - about 3 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 1548383524 NPPES
Indiana MEDICAID 201054240

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