| Doctor Name: | MS. LISA MARIE ENGELHARDT |
| NPI Number: | 1043686538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 6570-33 |
| Business Practice Address: | 444 North Westhill Blvd Appleton, WI - 54914 |
| Business Phone Number: | 9207507008 |
| Business Fax Number: | 9208825315 |
| Mailing Address: | 444 North Westhill Blvd, APPLETON |
| State: | WI |
| Postal Code: | 54914 |
| Phone Number: | 9207507008 |
| Fax Number: | 9208825315 |
| NPI Enumeration Date: | 08/19/2015 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 6570-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |