Individual
LISA A MUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, M/S G0057, SEATTLE, WA 98105-3901
(206) 987-1739
(206) 987-2639
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-1739
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30001486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301206
—
MT
05
—
805590900
—
ID
05
—
9601998
—
WA
05
—
NP934WA
—
AK
Enumeration date
07/12/2006
Last updated
07/12/2007
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