Provider Demographics
NPI:1073934006
Name:OSCAR, LISA (RNFA, BSN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:OSCAR
Suffix:
Gender:F
Credentials:RNFA, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:EAGLEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1105
Mailing Address - Country:US
Mailing Address - Phone:484-681-9274
Mailing Address - Fax:
Practice Address - Street 1:454 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-1200
Practice Address - Country:US
Practice Address - Phone:610-495-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN519631L163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant