Sunden, Lisa M
Sunden, Lisa M is an individual health care provider with primary practice located at 313 E 12Th St Ste 104, Austin TX 78701-1954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sunden, Lisa M can be contacted via phone (409) 747-0890.Contact Information
Primary practice address
313 E 12Th St Ste 104
Austin TX 78701-1954
Phone: (409) 747-0890
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 618615 | Texas |
Profile Details
NPI number | 1922160936 |
---|---|
LBN Legal business name | Sunden, Lisa M |
Credentials | MSN CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922160936 | NPPES |
Texas | MEDICAID | 159758502 |
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