Lisa Shea Roberts
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
55 E 100 N Suite 303
Logan
, Utah 84321-4661
Lisa Shea Roberts
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
55 E 100 N Suite 303
Logan
, Utah 84321-4661
(435) 760-7078
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Lisa Shea Roberts
- 12965 W 61st Cir
- Arvada, CO
- Zip : 80004-3981
- Phone : (435) 760-7078
Second Address
- Lisa Shea Roberts
- 55 E 100 N Suite 303
- Logan, UT
- Zip : 84321-4661
- Phone : (435) 760-7078
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 8689112-4405 | UT |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 8689112-4405 | UT |
National Provider Identifier
| NPI | 1043652803 |
|---|---|
| Provider Name | Lisa Shea Roberts |
| First Address | Arvada, CO 80004-3981 |
| Second Address | Logan, UT 84321-4661 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2013 |
| Last Update Date | 24/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.