LISA SHALLIS

NEWARK, DE
NPI1679049597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: DE  LH-0010276)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: PA  SP019225)
Enumeration Date2018-10-18
Last Update Date2024-01-02
Business Address
LISA SHALLIS CRNP
1 CENTURIAN DR STE 312
NEWARK, DE 19713-2127
Phone number: 302-319-5680
Mailing Address
LISA SHALLIS CRNP
1 CENTURIAN DR STE 312
NEWARK, DE 19713-2127
Phone number: 302-319-5680