MEDICARE: MRS. LISA BRASHIER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-047018	AL

General Provider Information

NPI Number	:	1336109537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA BRASHIER NP

Provider Business Mailing Address
First Line	:	850 PETER BRYCE BLVD
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35401-7419
Country	:	US
Telephone Number	:	205-348-6700
Fax Number	:	205-348-6112

Provider Business Practice Location Address
First Line	:	1325 MCFARLAND BLVD
Second Line	:	SUITE 102
City	:	NORTHPORT
State	:	AL
Zip	:	35476-3270
Country	:	US
Telephone Number	:	205-348-6700
Fax Number	:	205-348-6112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/21/2022

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