Lisa Marie Polhamus in St Petersburg - Neonatal
Lisa Marie Polhamus - NPI 1114188604
Lisa Marie Polhamus is a Neonatal in St Petersburg, Florida. Lisa Marie Polhamus practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Lisa Marie Polhamus is 1114188604. The last update date is 2018-06-20.
Lisa Marie Polhamus's current location address is 501 6th Ave S, St Petersburg, Florida. You can contact this provider via phone number 7277674313 and fax number 7277674391. The mailing address for Lisa Marie Polhamus is 501 6th Ave S, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Polhamus |
|---|---|
| Address | 501 6th Ave S, St Petersburg, Florida |
| Phone Number | 7277674313 |
| Fax Number | 7277674391 |
| Sole Proprietor | Y |
| Credentials | NNP |
NPI Number Detail
| NPI Number | 1114188604 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 501 6th Ave S |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337014634 |
| Phone Number | 7277674313 |
| Fax Number | 7277674391 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | ARNP9481675 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24415700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Marie Polhamus by the Centers for Medicare & Medicaid Services?
The Lisa Marie Polhamus has been assigned the NPI (National Provider Identifier) 1114188604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Lisa Marie Polhamus's physical address?
The Lisa Marie Polhamus is physically located at 501 6Th Ave S, in the city of St Petersburg, FL, with the postal code 337014634.
What is Lisa Marie Polhamus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Marie Polhamus's specialized field of practice is Neonatal, and the corresponding taxonomy code that categorizes this area of specialization is 363Ln0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114188604 to Lisa Marie Polhamus?
The Lisa Marie Polhamus received its 1114188604 assignment from the Centers for Medicare & Medicaid Services on 2008-06-18.
As of what date were the details pertaining to Lisa Marie Polhamus last refreshed?
The information related to the Lisa Marie Polhamus, including its address, specialty, and other relevant details, was last updated on 2018-06-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC