Individual provider · Type 1 NPI

Lisa Renee Rader, C.N.P.

Adult Health Nurse Practitioner · Germantown, TN

NPI number 1053519207 Active

Practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Fax (901) 685-2969

Mailing address

7714 Poplar Ave Ste 200, Attn: Credentialing
Germantown, TN 38138-3941

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPN0000019900 (TN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1053519207

Lisa Renee Rader, C.N.P.'s National Provider Identifier is 1053519207, issued on Jul 10, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Germantown, TN. The record was last updated on Oct 4, 2016.