Provider Demographics
NPI:1467745166
Name:RICHARDS, LISA M (MSN, CNM)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:RICHARDS
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Gender:F
Credentials:MSN, CNM
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Mailing Address - Street 1:6720 FRANK LLOYD WRIGHT AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1753
Mailing Address - Country:US
Mailing Address - Phone:608-821-0123
Mailing Address - Fax:608-821-0124
Practice Address - Street 1:6720 FRANK LLOYD WRIGHT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1753
Practice Address - Country:US
Practice Address - Phone:608-821-0123
Practice Address - Fax:608-821-0124
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife