Healthcare Provider Details

I. General information

NPI: 1295859775
Provider Name (Legal Business Name): C. LISA NORRIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LADD ST
PORTSMOUTH NH
03801-4087
US

IV. Provider business mailing address

20 LADD ST
PORTSMOUTH NH
03801-4087
US

V. Phone/Fax

Practice location:
  • Phone: 603-430-8900
  • Fax: 603-430-8008
Mailing address:
  • Phone: 603-430-8900
  • Fax: 603-430-8008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number048948-23-08
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number048948-23-08
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: