Individual
MS. LISANNA STAMOS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
2401 E STREET NW SA-1 COLUMBIA PLAZA SUITE L201, WASHINGTON, DC 20522-1823
(202) 235-7475
Mailing address
2401 E STREET NW SA-1 COLUMBIA PLAZA SUITE L201, WASHINGTON, DC 20522-0102
(202) 235-7475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
233805
NC
363LF0000X
Family Nurse Practitioner
Primary
NP1053197
DC
Other
Enumeration date
07/26/2012
Last updated
07/08/2024
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