Provider Demographics
NPI:1417250267
Name:PAXTON, LISA CAROL (MSN, CNP,FNP-BC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:CAROL
Last Name:PAXTON
Suffix:
Gender:F
Credentials:MSN, CNP,FNP-BC
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3333 BURNET AVE., ML 2010
Mailing Address - Street 2:CINCINNATI CHILDREN'S HOSITAL
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4415
Mailing Address - Fax:513-636-7805
Practice Address - Street 1:3333 BURNET AVE., ML 2010
Practice Address - Street 2:CINCINNATI CHILDREN'S HOSITAL
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4415
Practice Address - Fax:513-636-7805
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11713-NP363LF0000X
OHAPRN.CNP.11713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily