Walder, Lisa

Walder, Lisa is an individual health care provider with primary practice located at 3501 Cranberry Blvd , Weston WI 54476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Walder, Lisa can be contacted via phone (715) 847-2121.

Contact Information

Primary practice address
3501 Cranberry Blvd Weston WI 54476
Phone: (715) 847-2121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1979 Wisconsin

Profile Details

NPI number 1538267372
LBN Legal business name Walder, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538267372 NPPES
Wisconsin MEDICAID 43952400

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