Provider Demographics
NPI:1376387456
Name:SALISBURY, LISA LYNN (MSN-FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:LYNN
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:MSN-FNP-C
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:LYNN
Other - Last Name:MAYSE, NARGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3726 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4561
Mailing Address - Country:US
Mailing Address - Phone:419-344-9708
Mailing Address - Fax:
Practice Address - Street 1:3011 AVENUE B
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4320
Practice Address - Country:US
Practice Address - Phone:308-632-2215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEPENDING363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily