Kelly, Lisa Marie

Kelly, Lisa Marie is an sole proprietor health care provider with primary practice located at 10 E Front St Apt B , Monroe MI 48161-2269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kelly, Lisa Marie can be contacted via phone (734) 497-9041.

Contact Information

Primary practice address
10 E Front St Apt B Monroe MI 48161-2269
Phone: (734) 497-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704176148 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9402875 Florida

Profile Details

NPI number 1164075453
LBN Legal business name Kelly, Lisa Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2019
Last updated Jul 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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