Provider Demographics
NPI:1760867865
Name:CHRISTIAN, LISA HILYARD (CRNA, RN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:HILYARD
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:CRNA, RN
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:HILYARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1414
Mailing Address - Country:US
Mailing Address - Phone:302-229-2503
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:BAYHEALTH MEDICAL CENTER
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-229-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0037689163W00000X
DEL6-0A00735367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse