Individual provider · Type 1 NPI

Lisa Heyn Lavrisha, NP

Nurse Practitioner · Palo Alto, CA

NPI number 1255188512 Active

Practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X10128 (CA)
Nurse Practitioner Primary 363L00000X10128 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255188512

Lisa Heyn Lavrisha, NP's National Provider Identifier is 1255188512, issued on May 3, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palo Alto, CA. The record was last updated on Sep 12, 2024.