Individual provider · Type 1 NPI

Lisa Kay Astalos Chism, M.S, R.N., C.S.

Nurse Practitioner · Woodhaven, MI

NPI number 1649484411 Active

Practice location

21090 Allen Rd
Woodhaven, MI 48183-1602

Fax (734) 676-9801

Mailing address

23401 Leighwood Dr
Woodhaven, MI 48183-2774

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704176901 (MI)

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 1649484411

Lisa Kay Astalos Chism, M.S, R.N., C.S.'s National Provider Identifier is 1649484411, issued on May 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Woodhaven, MI. The record was last updated on Jul 8, 2007.