Individual
LISA M SCHULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13100 E 136TH ST, FISHERS, IN 46037
(317) 678-3100
Mailing address
10492 MAGENTA DR, NOBLESVILLE, IN 46060-8398
(317) 374-6178
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28124565A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71008274A
ADVANCED PRACTICE LICENSE NUMBER
IN
01
—
71008274B
CSR PRESCRIPTIVE AUTHORITY
IN
Enumeration date
01/24/2018
Last updated
09/12/2018
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