Individual
LISA CAROL REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
433 SW 10TH ST, OCALA, FL 34471-0209
(352) 732-4032
(352) 732-4191
Mailing address
7324 LITTLE RD, NEW PORT RICHEY, FL 34654-5518
(727) 484-7722
(727) 484-7781
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 0935622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015120300
—
FL
Enumeration date
10/04/2005
Last updated
06/20/2016
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