Priddy, Lisa

Priddy, Lisa is an individual health care provider with primary practice located at 639 North Mulberry , Elizabethtown KY 42701. 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. Priddy, Lisa can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 North Mulberry Elizabethtown KY 42701
Phone: (270) 737-4600
Fax: (270) 737-1722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 5084A Kentucky

Profile Details

NPI number 1275683302
LBN Legal business name Priddy, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 19th, 2008 - about 16 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 1275683302 NPPES
Kentucky MEDICAID 7100008060

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