Provider Demographics
NPI:1518401207
Name:CRAMM, LISA FLORENCE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:FLORENCE
Last Name:CRAMM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 9TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6431
Mailing Address - Country:US
Mailing Address - Phone:575-446-5900
Mailing Address - Fax:575-446-5939
Practice Address - Street 1:923 9TH ST STE A
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6431
Practice Address - Country:US
Practice Address - Phone:575-446-5900
Practice Address - Fax:575-446-5939
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily