Individual
LISA NATALIE RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
379 N CONGRESS AVE, BOYNTON BEACH, FL 33426-3415
(561) 336-0191
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(561) 336-0191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11016251
FL
363LP0200X
Pediatric Nurse Practitioner
R67192
OK
363LP2300X
Primary Care Nurse Practitioner
AP137962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112803100
—
FL
Enumeration date
03/15/2010
Last updated
03/06/2022
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