Individual provider · Type 1 NPI
Lisa Staab, CRNP
Primary Care Nurse Practitioner · Georgetown, DE
NPI number
1447836135
Active
Practice location
2 Lee Ave
Georgetown, DE 19947-2149
Mailing address
541 Chestnut Hill Rd
Forest Hill, MD 21050-1720
Other practice locations
- 26900 Lewes Georgetown Hwy, Harbeson, DE 19951-2855 · (302) 684-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R085703 (MD) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | LG-0011818 (DE) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Georgetown
About NPI 1447836135
Lisa Staab, CRNP's National Provider Identifier is 1447836135, issued on Mar 22, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Georgetown, DE. The record was last updated on Apr 11, 2023.