MS. LISA MARIANE BRONAUGH (NPI# 1932651700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932651700 |
| Entity Type | Individual |
| Full Name | MS. LISA MARIANE BRONAUGH |
| Credential | NP |
| Practice Address |
607 Dutchmans Ln Easton MD 21601-3345 |
| Mailing Address |
219 S Washington St Easton MD 21601-2913 |
| Practice Telephone | 4108229133 |
| Practice Fax Number | 4108229513 |
| Mailing Telephone | 4108229133 |
| Mailing Fax Number | 4108229513 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2018-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R206308 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
607 DUTCHMANS LN |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689041733 | Amy Joelle Hoetzel | Nurse Practitioner | 607 Dutchmans Ln, Easton, MD 21601-3345 | 2015-08-25 |
| 1619530342 | Hope Honigsberg | Family Medicine | 607 Dutchmans Ln, Easton, MD 21601-3345 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809891 | Jesse Frances Gehman | Nurse Practitioner | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-03-04 |
| 1740784180 | Melissa Lynn Eigenbrode | Nurse Practitioner | 511 Idlewild Ave Ste B, Easton, MD 21601-3888 | 2018-03-21 |
| 1467974246 | Michelle L Dennis | Nurse Practitioner | 5 Martin Ct, Easton, MD 21601-3833 | 2017-07-12 |
| 1689041733 | Amy Joelle Hoetzel | Nurse Practitioner | 607 Dutchmans Ln, Easton, MD 21601-3345 | 2015-08-25 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| 1568889095 | Julie Cohen | Nurse Practitioner | 1101 Northampton St, Easton, PA 18042-4152 | 2014-03-21 |
| 1013348473 | Village Health Care LLC | Nurse Practitioner | 373 Houlton Rd, Easton, ME 04740-4337 | 2013-12-10 |
| 1063842359 | Kathryn Heinz | Nurse Practitioner | 3701 Corriere Rd Fl 2, Easton, PA 18045-7991 | 2013-11-22 |
| 1043598444 | Lisette Vazquez | Nurse Practitioner | 8837 Roundhouse Cir, Easton, MD 21601-7903 | 2011-08-02 |
| 1730318320 | Angela R. Buck | Nurse Practitioner | 80 Center Rd, Easton, ME 04740-4337 | 2009-07-06 |
| Find all providers in EASTON | ||||
Please comment or provide details below to improve the information on MS. LISA MARIANE BRONAUGH.
| 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.