Provider Demographics
NPI:1477078772
Name:ROUTT, LISA C (RN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:C
Last Name:ROUTT
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:3333 BURNET AVE # 5021
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-2511
Practice Address - Street 1:3333 BURNET AVE MLC 2010,
Practice Address - Street 2:CHILDRENS HOSPITAL MEDICAL CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-4522
Practice Address - Country:US
Practice Address - Phone:513-636-4415
Practice Address - Fax:513-636-7805
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2020-03-17
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025570363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner