LISA HAIRSTON


Address: 55 Broad St. 21st Floor, New York, NY 10004
Phone: 3476896815

LISA HAIRSTON (NPI# 1912439381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912439381
Entity Type Individual
Full Name LISA HAIRSTON
Practice Address 55 Broad St. 21st Floor
New York
NY 10004
Mailing Address 2 Rushmore Dr
Pittsburgh
PA 15235-2032
Practice Telephone 3476896815
Mailing Telephone 4128675519
Enumeration Date 2017-04-03
Last Update Date 2017-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP017383 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 55 BROAD ST. 21ST FLOOR
City NEW YORK
State NY
Zip Code 10004

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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