Individual
LISA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-5879
Mailing address
737 RIDGE RD, HOMER CITY, PA 15748-5115
(814) 749-0255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN531345
PA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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