Individual
LISA H FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 SOUTHFIELD DR STE 1220, PLAINFIELD, IN 46168-4499
(317) 838-3443
(317) 838-3444
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5570
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007726A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010471
—
IN
Enumeration date
11/13/2017
Last updated
10/07/2024
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