person
Lisa Shallis, CRNP
Women's Health Nurse Practitioner in Newark, Delaware
NPI 1679049597

Lisa Shallis is a Women's Health Nurse Practitioner based in Newark, DE and is specialized in Women's Health. Lisa Shallis practices in Newark, DE and has the professional credentials of CRNP. The NPI Number for Lisa Shallis is 1679049597 and holds a License No. SP019225 (Delaware).

The current practice location address for Lisa Shallis is 1 Centurian Dr Ste 312, Newark, DE and can be reached out via phone at 302-319-5680.

Location: 1 Centurian Dr Ste 312, Newark, DE, 19713-2127
person
Provider Profile Details
NPI Number
1679049597
Provider Name
Lisa Shallis
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1 Centurian Dr Ste 312, Newark, DE, 19713-2127
Phone Number
302-319-5680
Fax Number
Provider Enumeration Date
10/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Centurian Dr Ste 312
City
State
Zip
19713-2127
Phone Number
302-319-5680
Fax Number
person
Provider Business Mailing Address Details
Address
1 Centurian Dr Ste 312
City
State
Zip
19713-2127
Phone Number
302-319-5680
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
SP019225 (Pennsylvania)
Definition
Definition to come...
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