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

Specialty	Code	License #	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 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.

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