Sunden, Lisa M

Sunden, Lisa M is an individual health care provider with primary practice located at 313 E 12Th St Ste 104, Austin TX 78701-1954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sunden, Lisa M can be contacted via phone (409) 747-0890.

Contact Information

Primary practice address
313 E 12Th St Ste 104 Austin TX 78701-1954
Phone: (409) 747-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 618615 Texas

Profile Details

NPI number 1922160936
LBN Legal business name Sunden, Lisa M
Credentials MSN CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1922160936 NPPES
Texas MEDICAID 159758502

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