Individual
LISA DRAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1444 ELLEN AVE, MADISON, WI 53716-1578
(715) 587-8528
Mailing address
1444 ELLEN AVE, MADISON, WI 53716-1578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226773
WI
363LF0000X
Family Nurse Practitioner
Primary
8479
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619418753
—
WI
Enumeration date
10/28/2015
Last updated
10/11/2019
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