Individual
LISA J DENNING-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6400 W NEWBERRY RD, SUITE 302, GAINESVILLE, FL 32605-6604
(352) 416-1082
(352) 373-6144
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1983962
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN1983962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001794100
—
FL
Enumeration date
02/03/2010
Last updated
09/19/2019
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