Individual
LISA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 Q ST FL 6, SACRAMENTO, CA 95816
(916) 733-3344
(916) 733-5365
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
668316-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
95002342
CA
363LA2100X
Acute Care Nurse Practitioner
F430890
NY
Other
Enumeration date
03/08/2014
Last updated
08/07/2018
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