Provider Demographics
NPI:1710233929
Name:HUTCHCRAFT, LISA STRASSNER (NP-C)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:STRASSNER
Last Name:HUTCHCRAFT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 E LAS VEGAS ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8002
Mailing Address - Country:US
Mailing Address - Phone:719-390-2736
Mailing Address - Fax:719-390-2739
Practice Address - Street 1:3190 E LAS VEGAS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8002
Practice Address - Country:US
Practice Address - Phone:719-390-2736
Practice Address - Fax:719-390-2739
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP 990242363LF0000X
GARN203469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily