Provider Demographics
NPI:1295322402
Name:FROMME, LISA A (RN BSN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:FROMME
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:895 MORNING GLORY CT
Mailing Address - Street 2:
Mailing Address - City:HICKMAN
Mailing Address - State:NE
Mailing Address - Zip Code:68372-9516
Mailing Address - Country:US
Mailing Address - Phone:402-304-7077
Mailing Address - Fax:
Practice Address - Street 1:895 MORNING GLORY CT
Practice Address - Street 2:
Practice Address - City:HICKMAN
Practice Address - State:NE
Practice Address - Zip Code:68372-9516
Practice Address - Country:US
Practice Address - Phone:402-304-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE57732163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE57732OtherCOVID
NE57733OtherRN-BSN
NE0OtherOPEN