Healthcare Provider Details

I. General information

NPI: 1003139593
Provider Name (Legal Business Name): LISA ANNE WESCOTT MSN, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA ANNE HILL MSN, CRNP

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 ANNS CHOICE WAY
WARMINSTER PA
18974-3527
US

IV. Provider business mailing address

5730 EXECUTIVE DR STE 230
CATONSVILLE MD
21228-1762
US

V. Phone/Fax

Practice location:
  • Phone: 215-443-3850
  • Fax: 215-443-3963
Mailing address:
  • Phone: 410-402-2379
  • Fax: 410-469-3085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP010670
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: