Ryan, Lisa Colette

Ryan, Lisa Colette is an individual health care provider with primary practice located at 4280 Watermelon Rd Ste 112 , Northport AL 35473-5250. 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. Ryan, Lisa Colette can be contacted via phone (205) 750-0030.

Contact Information

Primary practice address
4280 Watermelon Rd Ste 112 Northport AL 35473-5250
Phone: (205) 750-0030
Fax: (205) 750-0855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1065521 Alabama

Profile Details

NPI number 1003891607
LBN Legal business name Ryan, Lisa Colette
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 28th, 2022 - about 4 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 1003891607 NPPES
Alabama Other 051510187 BCBS
Alabama MEDICAID 226037 BCBS

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