Lisa A. Provance is a Family in Winchester, Virginia. Lisa A. Provance practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa A. Provance is 1588645378. The last update date is 2016-12-01.
Lisa A. Provance's current location address is 136 Linden Dr, Winchester, Virginia. You can contact this provider via phone number 5406783588 and fax number 5406789025. The mailing address for Lisa A. Provance is 136 Linden Dr, Winchester, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A. Provance |
|---|---|
| Address | 136 Linden Dr, Winchester, Virginia |
| Phone Number | 5406783588 |
| Fax Number | 5406789025 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588645378 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 136 Linden Dr |
|---|---|
| City | Winchester |
| State | Virginia (VA) |
| Post Code | 226016900 |
| Phone Number | 5406783588 |
| Fax Number | 5406789025 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24165328 |
|
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 |
|---|---|---|---|
| 10114641 | VA | -- | |
| 1104234 | VA | RN LICENSE NUMBER | |
| 24165328 | VA | NURSE PRACTITIONER NUMBER | |
| 014944V57 | VA | MEDICARE FOR VHPG |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa A. Provance by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa A. Provance has been assigned the NPI (National Provider Identifier) 1588645378. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lisa A. Provance?
The Lisa A. Provance is situated at 136 Linden Dr, in the city of Winchester, state of VA, with the zip code 226016900.
What is Lisa A. Provance's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa A. Provance is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
When did Lisa A. Provance receive its 1588645378 assignment?
The Lisa A. Provance was assigned its 1588645378 on 2005-11-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lisa A. Provance most recently updated?
The details pertaining to the Lisa A. Provance, including its address, specialty, and other relevant information, were last refreshed on 2016-12-01.