Suddreth, Lisa Marie

Suddreth, Lisa Marie is an individual health care provider with primary practice located at 830 Summit Crossing Pl , Gastonia NC 28054-2192. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Suddreth, Lisa Marie can be contacted via phone (704) 917-7610.

Contact Information

Primary practice address
830 Summit Crossing Pl Gastonia NC 28054-2192
Phone: (704) 917-7610
Fax: (704) 917-7615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004669 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5004669 North Carolina

Profile Details

NPI number 1033434519
LBN Legal business name Suddreth, Lisa Marie
Credentials MSN, NP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Mar 17th, 2018 - about 7 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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