Nicoletti, Lisa H.

Nicoletti, Lisa H. is an individual health care provider with primary practice located at 510 E Stoner Ave # 5N19 , Shreveport LA 71101-4243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicoletti, Lisa H. can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave # 5N19 Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R869017 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN073931-AP03946 Louisiana

Profile Details

NPI number 1427050822
LBN Legal business name Nicoletti, Lisa H.
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Sep 14th, 2023 - about last year

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 1427050822 NPPES
Louisiana MEDICAID 11254

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