Individual
LISA ROSEANNE PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Contact information
Practice address
500 CHEYNEY ROAD, THORNTON, PA 19373
(610) 361-3200
Mailing address
7 KINGS GRANT WAY, WILMINGTON, DE 19802-5248
(610) 803-4109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007104
PA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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