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Individual
STELLA A. LISK
Active
Individual
STELLA A. LISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307860A
—
KS
05
—
428788103
—
MO
01
—
P00836125
RAILROAD MEDICARE
MO
Enumeration date
05/25/2006
Last updated
06/17/2022
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