National Provider Identifier Database

LISA NICHOLSON, NP – NPI #1295934479
Neonatal


Contact Information

LISA NICHOLSON, NP
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA90095
Phone: 310-794-5066
Fax:
Website:
Specialty Taxonomy Code
* Neonatal 363LN0000X

* Indicates primary specialty

NPI Profile & details for LISA NICHOLSON

NPI Number 1295934479
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/17/2007
Last updated 06/01/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 17370
  • CA Other: 409782 CALIFORNIA BOARD OF REGIS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LISA NICHOLSON, NP

There are currently no reviews for LISA NICHOLSON, NP


NPIdb - Home
v2.201