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

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X376714-4405 (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.