Individual provider · Type 1 NPI
Gail Ann Lis, APRN BC
Acute Care Nurse Practitioner · Clinton Township, MI
NPI number
1639235682
Active
Practice location
16010 19 Mile Rd, Suite 101
Clinton Township, MI 48038-1141
Fax (586) 286-5564
Mailing address
48748 Delmont Dr
Novi, MI 48374-2767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704132475 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1639235682
Gail Ann Lis, APRN BC's National Provider Identifier is 1639235682, issued on Dec 27, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 8, 2007.