Individual
LISA HELEN HISSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
307 23RD STREET EXT, SHARPSBURG, PA 15215-2821
(724) 545-1600
(724) 923-6023
Mailing address
307 23RD STREET EXT, SHARPSBURG, PA 15215-2821
(723) 545-1600
(724) 923-6023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN269444L
PA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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