Lisa D Gantt in Greenville - Nurse Practitioner
Lisa D Gantt - NPI 1487636643
Lisa D Gantt is a Nurse Practitioner in Greenville, South Carolina. Lisa D Gantt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa D Gantt is 1487636643. The last update date is 2014-01-31.
Lisa D Gantt's current location address is Po Box 8676, Greenville, South Carolina. You can contact this provider via phone number 8642327338 and fax number 8642396645. The mailing address for Lisa D Gantt is Po Box 8676, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa D Gantt |
|---|---|
| Address | Po Box 8676, Greenville, South Carolina |
| Phone Number | 8642327338 |
| Fax Number | 8642396645 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1487636643 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2014-01-31 |
Provider Mailing Address Detail
| Address | Po Box 8676 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296048676 |
| Phone Number | 8642327338 |
| Fax Number | 8642396645 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | A764 |
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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 |
|---|---|---|---|
| PA1845 | SC | -- | |
| 1874 | SC | MEDICARE PTAN | |
| P01251001 | SC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa D Gantt by the Centers for Medicare & Medicaid Services?
The Lisa D Gantt has been assigned the NPI (National Provider Identifier) 1487636643 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa D Gantt?
The Lisa D Gantt is physically situated at Po Box 8676, in the city of Greenville, state of SC, with the postal code 296048676.
What is Lisa D Gantt'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 Gantt is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When was the Lisa D Gantt's 1487636643 issued?
The Lisa D Gantt's 1487636643 was issued on 2005-11-15.
When was the information related to Lisa D Gantt most recently updated or refreshed?
The details pertaining to the Lisa D Gantt, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-31.
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