Healthcare Provider Details

I. General information

NPI: 1346646262
Provider Name (Legal Business Name): LISA A HRINA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4076 SAINT ANDREWS CT UNIT #6
CANFIELD OH
44406-8022
US

IV. Provider business mailing address

4076 SAINT ANDREWS CT UNIT #6
CANFIELD OH
44406-8022
US

V. Phone/Fax

Practice location:
  • Phone: 330-550-1525
  • Fax:
Mailing address:
  • Phone: 330-550-1525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN253913
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN253913
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: