person
Mrs. Lisa B Colasurdo, APRN
Family Nurse Practitioner in Spartanburg, South Carolina
NPI 1447246616

Lisa B Colasurdo is a Family Nurse Practitioner based in Spartanburg, SC and is specialized in Family. Lisa B Colasurdo practices in Spartanburg, SC and has the professional credentials of APRN. The NPI Number for Lisa B Colasurdo is 1447246616 and holds a License No. APN 875 (South Carolina).

The current practice location address for Lisa B Colasurdo is 3021 Reidville Rd, Spartanburg, SC and can be reached out via phone at 864-576-9201 and via fax at 864-576-6584.

Location: 3021 Reidville Rd, Spartanburg, SC, 29301-5643
person
Provider Profile Details
NPI Number
1447246616
Provider Name
Lisa B Colasurdo
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3021 Reidville Rd, Spartanburg, SC, 29301-5643
Phone Number
864-576-9201
Fax Number
864-576-6584
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00695569 01 SC RR MEDICARE PTAN
GP4988 01 SC MEDICAID GROUP ID
NP0491 05 SC
institution
Provider Business Practice Location Address Details
Address
3021 Reidville Rd
City
State
Zip
29301-5643
Phone Number
864-576-9201
Fax Number
864-576-6584
person
Provider Business Mailing Address Details
Address
3021 Reidville Rd
City
State
Zip
29301-5643
Phone Number
864-576-9201
Fax Number
864-576-6584
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN 875 (South Carolina)
Definition
Definition to come...
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