Reanna S Lizardo
Student in an Organized Health Care Education/Training Program in Nutley, New Jersey
1417600438- Practice location
- 340 Kingsland St, Nutley, NJ 07110-1150
- Phone
- 973-761-9000
- Fax
- —
- Last updated
- January 31, 2022
Reanna Sade Lizardo is a Student in an Organized Health Care Education/Training Program based in Nutley, NJ. Reanna Sade Lizardo practices in Nutley, NJ. The NPI Number for Reanna Sade Lizardo is 1417600438. The current practice location address for Reanna Sade Lizardo is 340 Kingsland St, Nutley, NJ 07110-1150 and can be reached out via phone at 973-761-9000.
Provider Profile Details
- NPI Number
- 1417600438
- Provider Name
- Reanna Sade Lizardo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 340 Kingsland St, Nutley, NJ 07110-1150
- Phone Number
- 973-761-9000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2022
- Last Update Date
- January 31, 2022
- Certification Date
- January 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Kingsland St
Nutley, NJ 07110-1150 - City
- Nutley
- State
- New Jersey
- Zip
- 07110-1150
- Phone Number
- 973-761-9000
Provider Business Mailing Address Details
- Address
- 376 E 8TH St Apt C6
Brooklyn, NY 11218-4258 - City
- Brooklyn
- State
- NY
- Zip
- 11218-4258
- Phone Number
- 347-554-0691
License Information
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · 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 Reanna S Lizardo?
The NPI number of Reanna S Lizardo is 1417600438. It was assigned on January 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Reanna S Lizardo?
Reanna S Lizardo is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Reanna S Lizardo practice?
The practice location is 340 Kingsland St, Nutley, NJ 07110-1150. The office can be reached at 973-761-9000 (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 1417600438 directly on the NPPES registry website.