Lisdahl, Amy Lynn

Lisdahl, Amy Lynn is an individual health care provider with primary practice located at 1500 N 34Th St Ste 100 , Superior WI 54880-4476. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lisdahl, Amy Lynn can be contacted via phone (715) 392-8216.

Contact Information

Primary practice address
1500 N 34Th St Ste 100 Superior WI 54880-4476
Phone: (715) 392-8216
Fax: (715) 392-6055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7410 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 606806 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP4944 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95002695 California

Profile Details

NPI number 1700123973
LBN Legal business name Lisdahl, Amy Lynn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Oct 29th, 2020 - 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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