Valiquette, Lisa
Valiquette, Lisa is an individual health care provider with primary practice located at 2500 E Capitol Dr , Appleton WI 54911-8735. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Valiquette, Lisa can be contacted via phone (920) 738-4600.Contact Information
Primary practice address
2500 E Capitol Dr
Appleton WI 54911-8735
Phone: (920) 738-4600
Fax: (920) 738-4792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 843 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 843 | Wisconsin |
Profile Details
NPI number | 1023053626 |
---|---|
LBN Legal business name | Valiquette, Lisa |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Mar 17th, 2018 - about 6 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 | 1023053626 | NPPES |
Wisconsin | MEDICAID | 43969300 |
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