Haney, Lisa M

Haney, Lisa M is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Critical Care Medicine, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Haney, Lisa M can be contacted via phone (414) 955-7040.

Contact Information

Primary practice address
9200 W Wisconsin Ave Critical Care Medicine Milwaukee WI 53226-3522
Phone: (414) 955-7040
Fax: (414) 955-6211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5976-33 Wisconsin

Profile Details

NPI number 1710387972
LBN Legal business name Haney, Lisa M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2014
Last updated Dec 6th, 2016 - about 9 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 1710387972 NPPES
Wisconsin MEDICAID 1710387972

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