Individual
MISS LISA M BILELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A., A.P.N.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4200
Mailing address
3850 RIDGE PIKE, HOUSE 2, COLLEGEVILLE, PA 19426-3122
(718) 619-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR16679000
NJ
163W00000X
Registered Nurse
558468-1
NY
163W00000X
Registered Nurse
RN667166
PA
367500000X
Certified Registered Nurse Anesthetist
26NJ00619000
NJ
Other
Enumeration date
01/22/2016
Last updated
06/12/2023
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