Individual
LISA GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820
(340) 227-4255
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024167991
VA
363LF0000X
Family Nurse Practitioner
Primary
11173
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EK152Y
MEDICARE ID
VI
Enumeration date
09/05/2008
Last updated
07/12/2018
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