Zerdelian, Lisa Marie

Zerdelian, Lisa Marie is an individual health care provider with primary practice located at 450 Clinton St , Woonsocket RI 02895-3207. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / School. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Zerdelian, Lisa Marie can be contacted via phone (401) 767-4100.

Contact Information

Primary practice address
450 Clinton St Woonsocket RI 02895-3207
Phone: (401) 767-4100
Fax: (401) 235-6899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPP37576 Rhode Island
Nursing Service Providers / School 163WS0200X NPP37576 Rhode Island

Profile Details

NPI number 1407162464
LBN Legal business name Zerdelian, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2010
Last updated Jan 5th, 2012 - about 14 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 1407162464 NPPES
Rhode Island MEDICAID LZ83262

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