Paul, Lisa Marie M
Paul, Lisa Marie M is an sole proprietor health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. 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. Paul, Lisa Marie M can be contacted via phone (802) 847-2415.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-2415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 636631 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | 256932 | Massachusetts |
| Nursing Service Providers / Registered Nurse | 163W00000X | 607721 | New York |
| Nursing Service Providers / Registered Nurse | 163W00000X | 88045 | Vermont |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3010203 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 88148 | Vermont |
Profile Details
| NPI number | 1285919373 |
|---|---|
| LBN Legal business name | Paul, Lisa Marie M |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2011 |
| Last updated | Sep 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285919373 | NPPES |
| California | Other | 95000710 | CRNA LICENSE |
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