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General NPI Number Information
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NPI Number | 1215981758
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Entity Type | Individual
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Provider Name | LISA D PISNEY ANP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 3500 E DONALD ST
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City | WATERLOO
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State | IA
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Zip | 50703-9203
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Country | US
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Telephone | 319-292-7082
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Fax |
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Provider Business Mailing Address
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Address Line | 4702 CHADWICK RD UNIT 12
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City | CEDAR FALLS
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State | IA
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Zip | 50613-7931
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Country | US
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Telephone | 804-720-9492
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R1976492
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4043
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | H160768
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License Number State | IA
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