Provider Demographics
NPI:1578912945
Name:PARROTT, LISA KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KAY
Last Name:PARROTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:KAY
Other - Last Name:NIPSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5231 HIGHWAY 33
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MN
Mailing Address - Zip Code:55779-9662
Mailing Address - Country:US
Mailing Address - Phone:218-591-2276
Mailing Address - Fax:
Practice Address - Street 1:5231 HIGHWAY 33
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MN
Practice Address - Zip Code:55779-9662
Practice Address - Country:US
Practice Address - Phone:218-591-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR139137-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse