Provider Demographics
NPI:1497835516
Name:HOLSCHER, LISA M (RNFA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:HOLSCHER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-0313
Mailing Address - Country:US
Mailing Address - Phone:812-882-6972
Mailing Address - Fax:812-885-2371
Practice Address - Street 1:1019 BAYOU ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-2731
Practice Address - Country:US
Practice Address - Phone:812-882-6972
Practice Address - Fax:812-885-2371
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28125598A163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant