Lisa D Stults is a Family in Kokomo, Indiana. Lisa D Stults practices all healthcare services and medical treatments related to Family. 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 |
|---|---|
| Address | 1907 W Sycamore St, Kokomo, Indiana |
| Phone Number | 7654565900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1033181599 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2018-02-09 |
Provider Mailing Address Detail
| Address | 1907 W Sycamore St |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469015148 |
| Phone Number | 7654565900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71001805A |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
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.