Lookup NPI Numbers from the NPI Registry
NPI Profile for LISA M POULOS in GREENSBORO, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
163WP0808X | |||
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1174561740 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/03/2006 | |
| Last updated | 11/14/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA M POULOS
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LISA M POULOS