Provider Demographics
NPI:1841949039
Name:FERARY, LISA LOPRESTI (APNP, MSN, RN)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:LOPRESTI
Last Name:FERARY
Suffix:
Gender:F
Credentials:APNP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2799 CHELSEA PL NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1288
Mailing Address - Country:US
Mailing Address - Phone:678-488-7295
Mailing Address - Fax:
Practice Address - Street 1:1618 BEN KING RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-2945
Practice Address - Country:US
Practice Address - Phone:770-419-8601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN140252163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool