Lisa R Hennen is a Family in Saint Cloud, Minnesota. Lisa R Hennen practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa R Hennen is 1588644454. The last update date is 2020-11-02.
Lisa R Hennen's current location address is 720 4th Ave S, Saint Cloud, Minnesota. You can contact this provider via phone number 3203083191 and fax number 3203083192. The mailing address for Lisa R Hennen is 720 4th Ave S, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Hennen |
|---|---|
| Address | 720 4th Ave S, Saint Cloud, Minnesota |
| Phone Number | 3203083191 |
| Fax Number | 3203083192 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1588644454 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2020-11-02 |
Provider Mailing Address Detail
| Address | 720 4th Ave S |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563014442 |
| Phone Number | 3203083191 |
| Fax Number | 3203083192 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2121 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 862953600 | MN | -- | |
| P00221874 | MN | RR MEDICARE |
Post Comment/ Review Below
What is the Lisa R Hennen's unique identification number?
The Lisa R Hennen has been assigned the NPI (National Provider Identifier) Number 1588644454 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 R Hennen?
The Lisa R Hennen is situated at 720 4Th Ave S, in the city of Saint Cloud, state of MN, with the zip code 563014442.
What is Lisa R Hennen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa R Hennen's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When did the Lisa R Hennen receive its 1588644454?
The Lisa R Hennen was issued its 1588644454 on 2006-01-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lisa R Hennen most recently updated?
The details pertaining to the Lisa R Hennen, including its address, specialty, and other relevant information, were last refreshed on 2020-11-02.