MRS. LISA B COLASURDO APRN NPI 1447246616

NPI Information

NPI: 1447246616
Provider Name: MRS. LISA B COLASURDO, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAMILY PHYSICIANS OF SPARTANBURG, PC

PECOS Registration: Yes

Address:
1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC
ZIP 29306
Phone: (864) 576-9201
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MRS. Lisa B Colasurdo, APRN is a family nurse practitioner in Spartanburg, SC with 24 years of experience. MRS. Lisa B Colasurdo, APRN NPI is 1447246616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC
ZIP 29306-929
Phone: (864) 576-9201
Fax: (864) 576-6584

The NPI 1447246616 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 2/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN 875	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P342405458	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
2	NP0491	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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