Sullivan, Lisa A

Sullivan, Lisa A is an individual health care provider with primary practice located at 8380 Riverwalk Park Blvd Ste 220 , Fort Myers FL 33919-8758. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Sullivan, Lisa A can be contacted via phone (239) 215-4104.

Contact Information

Primary practice address
8380 Riverwalk Park Blvd Ste 220 Fort Myers FL 33919-8758
Phone: (239) 215-4104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 033956-23-11 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 033956-23 New Hampshire

Profile Details

NPI number 1992783328
LBN Legal business name Sullivan, Lisa A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 29th, 2022 - about 2 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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