Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA MIX, RN CCM
Active Sole ProprietorLISA MIX, RN CCM is a Case Management Nurse healthcare provider located in HARRIS, Minnesota. NPI 1427703578 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · HARRIS, MN
Registration Details
- NPI Number
- 1427703578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2022 (4.3074690774254 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
4241198 (MN)221730-30 (WI)R141093-2 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 454TH BLVDHARRIS, MN, 550324000Browse MN providers · Browse ZIP 55032
- Phone
- 6513345671
- Primary Specialty
-
Case Management Nurse
163WC0400X
- Additional Specialty
- Case Management Nurse
- Additional Specialty
- Case Management Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.