Mattucci-Hunter, Lisa

Mattucci-Hunter, Lisa is an sole proprietor health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Mattucci-Hunter, Lisa can be contacted via phone (513) 558-4194.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Phone: (513) 558-4194
Fax: (513) 558-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.239700-COA1 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.05567-NA Ohio

Profile Details

NPI number 1316930977
LBN Legal business name Mattucci-Hunter, Lisa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Jun 1st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316930977 NPPES
Indiana MEDICAID 200261240
Indiana MEDICAID 2182089
Indiana MEDICAID 74006214

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