Individual
LISA M MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3050 MACK RD STE 300, FAIRFIELD, OH 45014-5376
(513) 751-2145
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2145
(513) 751-1848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
07397-NP
OH
363L00000X
Nurse Practitioner
1102028
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.07397
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444510
—
IN
05
—
3059596
—
OH
05
—
78010451
—
KY
Enumeration date
04/19/2006
Last updated
04/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us