Individual
LISA JEAN PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
530 EAST 22 STREET, APT. 3J, BROOKLYN, NY 11226
(347) 613-8311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113125
CRNA
NY
01
—
614848
NEW YORK STATE REGISTERED PROFESSIONAL NURSE
NY
Enumeration date
02/16/2010
Last updated
03/17/2019
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