Individual provider · Type 1 NPI
Lisa Certonio, NNP-BC
Critical Care Neonatal Nurse Practitioner · St. George, UT
NPI number
1588057152
Active
Practice location
544 S 400 E
St. George, UT 84770-3705
Mailing address
2152 S Angell Heights Dr
Hurricane, UT 84737-2665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 376714-4405 (UT) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1588057152
Lisa Certonio, NNP-BC's National Provider Identifier is 1588057152, issued on Mar 6, 2015. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in St. George, UT. The record was last updated on Sep 21, 2021.