Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA INGRID NELSON-NGUYEN, PAC
DeactivatedPhysician Assistant · BETTENDORF, IA
This NPI has been deactivated.
The record was deactivated on January 13, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619964210
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2005 (0.29041095890411 yrs)
- Last Updated
- Feb 22, 2024
- Deactivated
- Jan 13, 2006
- Licenses
-
01283 (IA)085001602 (IL)001283 (IA)
Practice Information
- Address
-
3415 53RD AVEBETTENDORF, IA, 527226976Browse IA providers · Browse ZIP 52722
- Phone
- 5637424370
- Fax
- 3095587026
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in BETTENDORF, IA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH A JAMES | PA-C | 1063417558 |
| MARY JO RUSSELL | PA-C | 1528046695 |
| JOHN TRYON | PA-C | 1780654194 |
| MRS. TRINA GEBAUER BLAIR | PAC | 1598738635 |
| MARCUS E. HOSKINS | PA-C | 1457389116 |
| MELISSA MARGARET PEYTON | PA-C | 1851589683 |
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.