Lisa Broaddus Ziegler, CRNA
Nurse Anesthetist, Certified Registered in Richmond, VA. Individual provider (NPI-1).
NPI number1023070141
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1023070141
- Entity type
- Individual (NPI-1)
- Name
- Lisa Broaddus Ziegler
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2006
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024164758 | VA | Yes |
Practice location
5801 Bremo RdRichmond, VA 23226-1907
Phone 804-285-2011
Mailing address
3100 Spring Forest RdSte 130
Raleigh, NC 27616-2880
Phone 919-882-7908 · Fax 919-873-9821
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