Doctor Name: | MS. LISA ANNE WESCOTT |
NPI Number: | 1003139593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | SP010670 |
Business Practice Address: | 131 Harvard Dr Trappe, PA - 194261962 |
Business Phone Number: | 6105062801 |
Business Fax Number: | |
Mailing Address: | 131 Harvard Dr, TRAPPE |
State: | PA |
Postal Code: | 194261962 |
Phone Number: | 6105062801 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2010 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP010670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |