Tate, Lisa Marie

Tate, Lisa Marie is an individual health care provider with primary practice located at 1180 Selmi Dr Ste 201 , Reno NV 89512-4776. 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. Tate, Lisa Marie can be contacted via phone (775) 433-2222.

Contact Information

Primary practice address
1180 Selmi Dr Ste 201 Reno NV 89512-4776
Phone: (775) 433-2222
Fax: (800) 455-1391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN000913 Nevada

Profile Details

NPI number 1265561021
LBN Legal business name Tate, Lisa Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 24th, 2026 - about last week

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 1265561021 NPPES
Other 12188992 CAQH
MEDICAID 1265561021 CAQH

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