Mrs. Lisa Marie Roser
Nurse Practitioner - Adult Health
511 Idlewild Ave
Easton
, Maryland 21601-3825
Mrs. Lisa Marie Roser
Nurse Practitioner - Adult Health
511 Idlewild Ave
Easton
, Maryland 21601-3825
(410) 822-9253
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Lisa Marie Roser
- 511 Idlewild Ave
- Easton, MD
- Zip : 21601-3825
- Fax : (410) 822-9253
- Phone : (410) 822-6005
Second Address
- Mrs. Lisa Marie Roser
- 511 Idlewild Ave
- Easton, MD
- Zip : 21601-3825
- Fax : (410) 822-9253
- Phone : (410) 822-6005
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Is Mrs. Lisa Marie Roser a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | R126043 | MD |
National Provider Identifier
| NPI | 1023060688 |
|---|---|
| Provider Name | Mrs. Lisa Marie Roser |
| First Address | Easton, MD 21601-3825 |
| Second Address | Easton, MD 21601-3825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 14/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P77669 | (02) | MD |
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.