Lisa D Stults is a Nurse Practitioner in Kokomo, Indiana. Lisa D Stults practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa D Stults is 1033181599. The last update date is 2018-02-09.
Lisa D Stults's current location address is 1907 W Sycamore St, Kokomo, Indiana. You can contact this provider via phone number 7654565900. The mailing address for Lisa D Stults is 1907 W Sycamore St, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa D Stults |
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Address | 1907 W Sycamore St, Kokomo, Indiana |
Phone Number | 7654565900 |
Fax Number | |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1033181599 |
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Provider Enumeration Date | 2006-02-07 |
Last Updated Date | 2018-02-09 |
Provider Mailing Address Detail
Address | 1907 W Sycamore St |
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City | Kokomo |
State | Indiana (IN) |
Post Code | 469015148 |
Phone Number | 7654565900 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 71001805A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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556066 | IN | ANTHEM-BCBS | |
200522480 | IN | -- | |
1033181599 | MI | -- |
Post Comment/ Review Below
What is the Lisa D Stults's unique identification number?
The Lisa D Stults has been assigned the NPI (National Provider Identifier) Number 1033181599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lisa D Stults?
The Lisa D Stults is situated at 1907 W Sycamore St, in the city of Kokomo, state of IN, with the zip code 469015148.
What is Lisa D Stults's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa D Stults is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Lisa D Stults receive the assignment of its 1033181599 from the Centers for Medicare & Medicaid Services?
The Lisa D Stults was issued its 1033181599 by the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the information pertaining to Lisa D Stults most recently updated or revised?
The details related to Lisa D Stults, including its address, specialty, and other relevant information, were last updated or revised on 2018-02-09.