Nevara, Lisa

Nevara, Lisa is an individual health care provider with primary practice located at 425 E. 7Th Street , The Dalles OR 97058-2607. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nevara, Lisa can be contacted via phone (541) 296-4610.

Contact Information

Primary practice address
425 E. 7Th Street The Dalles OR 97058-2607
Phone: (541) 296-4610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005552 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 097007189N1 Oregon

Profile Details

NPI number 1841376324
LBN Legal business name Nevara, Lisa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 14th, 2011 - about 13 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 1841376324 NPPES
Washington MEDICAID 9644626

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