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Lisa M Moran, NP
Nurse Practitioner in Crystal Lake, Illinois
NPI 1992252399

Lisa M Moran is a Nurse Practitioner based in Mchenry, IL. Lisa M Moran practices in Crystal Lake, IL and has the professional credentials of NP. The NPI Number for Lisa M Moran is 1992252399 and holds a License No. 209015062 (Illinois).

The current practice location address for Lisa M Moran is 360 Station Dr Ste 120, Crystal Lake, IL and can be reached out via phone at 815-477-8900 and via fax at 815-477-7160.

Location: 360 Station Dr Ste 120, Crystal Lake, IL, 60050-8437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992252399
Provider Name
Lisa M Moran
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
360 Station Dr Ste 120, Crystal Lake, IL, 60050-8437
Phone Number
815-477-8900
Fax Number
815-477-7160
Provider Enumeration Date
09/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209015062 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
360 Station Dr Ste 120
City
Crystal Lake
State
Illinois
Zip
60014-7994
Phone Number
815-477-8900
Fax Number
815-477-7160
person
Provider Business Mailing Address Details
Address
360 Station Dr Ste 120
City
Crystal Lake
State
Illinois
Zip
60014-7994
Phone Number
815-477-8900
Fax Number
815-477-7160
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209015062 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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