Provider Demographics
NPI:1346394434
Name:TAPP, LISA (ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:TAPP
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:MCGUNNIGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:422 CENTRAL AVE # 224
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 ACADEMY STREET
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3724
Practice Address - Country:US
Practice Address - Phone:603-842-4401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041453-23363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
30344902Medicare UPIN
Z140607Medicare PIN