Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 007470 | CT |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00902400 | NJ |
N | 363LA2100X | Nurse Practitioner - Acute Care | F430992 | NY |
NPI | 1043603459 |
---|---|
Provider Name | Lisa Ha |
First Address | Hackensack, NJ 07601-1997 |
Second Address | Hackensack, NJ 07601-1997 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2015 |
Last Update Date | 22/01/2022 |