Lisa Madala is a Nurse Practitioner in Santa Maria, California. Lisa Madala practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa Madala is 1841203692. The last update date is 2020-04-22.
Lisa Madala's current location address is 2050 S Blosser Rd, Santa Maria, California. You can contact this provider via phone number 5592565200 and fax number 5592565376. The mailing address for Lisa Madala is 2050 S Blosser Rd, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Madala |
|---|---|
| Address | 2050 S Blosser Rd, Santa Maria, California |
| Phone Number | 5592565200 |
| Fax Number | 5592565376 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1841203692 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 2050 S Blosser Rd |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934587310 |
| Phone Number | 5592565200 |
| Fax Number | 5592565376 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP15802 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 499652 | CA | RN LICENSE | |
| 15802 | NURSE PRACTITIONER FURNISHING |
Post Comment/ Review Below
What is the unique identification code assigned to Lisa Madala by the Centers for Medicare & Medicaid Services?
The Lisa Madala has been issued the NPI (National Provider Identifier) 1841203692. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lisa Madala is physically located?
The Lisa Madala is physically situated at the following address: 2050 S Blosser Rd, Santa Maria, CA, 934587310.
What is the area of specialization for Lisa Madala, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Madala is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Lisa Madala receive the assignment of its 1841203692 from the Centers for Medicare & Medicaid Services?
The Lisa Madala was issued its 1841203692 by the Centers for Medicare & Medicaid Services on 2006-08-14.
When was the information regarding Lisa Madala most recently updated?
The details pertaining to the Lisa Madala, including its address, specialty, and other relevant information, were last refreshed on 2020-04-22.