Provider Demographics
NPI:1144561903
Name:MEIRING, LISA RENEE (CNS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:RENEE
Last Name:MEIRING
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:RENEE
Other - Last Name:BUENING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4343 ALL SEASONS DR
Mailing Address - Street 2:STE 140
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1962
Mailing Address - Country:US
Mailing Address - Phone:937-208-4200
Mailing Address - Fax:937-208-4205
Practice Address - Street 1:4343 ALL SEASONS DR STE 140
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1962
Practice Address - Country:US
Practice Address - Phone:614-544-1401
Practice Address - Fax:614-544-1403
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.12767364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0095579Medicaid
OHH239270Medicare PIN