Pender, Lia
Pender, Lia is an individual health care provider with primary practice located at 3119 Woodman Dr , Altoona WI 54720-2668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pender, Lia can be contacted via phone (920) 496-4700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13324-33 | Wisconsin |
Profile Details
| NPI number | 1356068662 |
|---|---|
| LBN Legal business name | Pender, Lia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2022 |
| Last updated | Jan 18th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356068662 | NPPES |
| Wisconsin | MEDICAID | 100224934 |
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