Provider Demographics
NPI:1982033387
Name:DANIELS, LISA (CRNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:CRNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:931 HARRISBURG AVENUE
Mailing Address - Street 2:LGH @ F & M COLL STUDENT WELL CTR #9
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2652
Mailing Address - Country:US
Mailing Address - Phone:717-544-9051
Mailing Address - Fax:717-735-9234
Practice Address - Street 1:694 GOOD DR
Practice Address - Street 2:SUITE 11
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3737
Practice Address - Fax:717-544-3739
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2017-09-22
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Provider Licenses
StateLicense IDTaxonomies
PARN617079163W00000X
PASP013549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse