MS. LISA MARIE WHEADON NP NPI 1770926594

NPI Information

NPI: 1770926594
Provider Name: MS. LISA MARIE WHEADON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1325 N ROSE DR
SUITE 210
PLACENTIA, CA
ZIP 92870
Phone: (714) 961-5804
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MS. Lisa Marie Wheadon, NP is a family nurse practitioner in Placentia, CA. MS. Lisa Marie Wheadon, NP NPI is 1770926594. 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:

1325 N ROSE DR
SUITE 210
PLACENTIA, CA
ZIP 92870-840
Phone: (714) 961-5804
Fax: (657) 258-0314

The NPI 1770926594 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 4/10/2013 and was last updated on 2/28/2017.

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	20921	CALIFORNIA	Yes

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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