Shallis, Lisa

Shallis, Lisa is an individual health care provider with primary practice located at 1 Centurian Dr Ste 312 , Newark DE 19713-2127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Shallis, Lisa can be contacted via phone (302) 319-5680.

Contact Information

Primary practice address
1 Centurian Dr Ste 312 Newark DE 19713-2127
Phone: (302) 319-5680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X SP019225 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X LH-0010276 Delaware

Profile Details

NPI number 1679049597
LBN Legal business name Shallis, Lisa
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2018
Last updated Jan 2nd, 2024 - 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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