Lisa M Ewan, APN
Nurse Practitioner, Psych/Mental Health in West Deptford, New Jersey
1093087249- Practice location
- 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165
- Phone
- 856-251-0500
- Fax
- —
- Last updated
- August 11, 2023
Lisa M Ewan is a Nurse Practitioner, Psych/Mental Health based in West Deptford, NJ. Lisa M Ewan practices in West Deptford, NJ and has the professional credentials of APN. The NPI Number for Lisa M Ewan is 1093087249 and holds a License No. 26NJ00365500 (NJ). The current practice location address for Lisa M Ewan is 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 and can be reached out via phone at 856-251-0500.
Provider Profile Details
- NPI Number
- 1093087249
- Provider Name
- Lisa M Ewan
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165
- Phone Number
- 856-251-0500
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 3, 2012
- Last Update Date
- August 11, 2023
- Certification Date
- August 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 875 Kings Hwy Ste 100
West Deptford, NJ 08096-3165 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096-3165
- Phone Number
- 856-251-0500
Provider Business Mailing Address Details
- Address
- 6 N Broad St
Suite 301
Woodbury, NJ 08096-4635 - City
- Woodbury
- State
- NJ
- Zip
- 08096-4635
- Phone Number
- 856-251-0500
License Information
- License Number (1)
- 26NJ00365500
- License State (1)
- NJ
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health, Adult · 163WP0809X
- License Number (2)
- 26NJ00365500
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa M Ewan, APN?
The NPI number of Lisa M Ewan, APN is 1093087249. It was assigned on February 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Lisa M Ewan, APN?
Lisa M Ewan, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00365500.
Where does Lisa M Ewan, APN practice?
The practice location is 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165. The office can be reached at 856-251-0500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093087249 directly on the NPPES registry website.