Provider Demographics
NPI:1437159936
Name:ARRASMITH, LISA J (APRN, MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:J
Last Name:ARRASMITH
Suffix:
Gender:F
Credentials:APRN, MSN, PMHNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:ST. ELIZABETH PHYSICIANS
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-301-5901
Mailing Address - Fax:859-301-5940
Practice Address - Street 1:200 MEDICAL VILLAGE DR
Practice Address - Street 2:ST ELIZABETH PHYSICIANS
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-301-5901
Practice Address - Fax:859-301-5940
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002140A363L00000X
KY3004513363L00000X, 363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200177570Medicaid
KY78014297Medicaid
KY0969436Medicare PIN
IN200177570Medicaid
KY78014297Medicaid
IN226420BMedicare PIN