Petty, Lisa Ann
Petty, Lisa Ann is an sole proprietor health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Petty, Lisa Ann can be contacted via phone (253) 968-2252.Contact Information
Primary practice address
9040 Jackson Ave
Tacoma WA 98431-0001
Phone: (253) 968-2252
Fax: (253) 968-3278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 107635 | Missouri |
Profile Details
| NPI number | 1033199559 |
|---|---|
| LBN Legal business name | Petty, Lisa Ann |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 10th, 2019 - about 5 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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