Individual provider · NPI-1

Lisa Marie Ault, RN

Registered Nurse, Psych/Mental Health, Adult · Tacoma, WA

NPI number1023892858
StatusActive
Last updated in NPPESAug 22, 2023

Details

NPI
1023892858
Entity type
Individual (NPI-1)
Name
Lisa Marie Ault
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 22, 2023
Certification date
Aug 22, 2023
Last updated
Aug 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, AdultRN-60295254WAYes

Practice location

6611 S Wapato St
Tacoma, WA 98409-9082

Phone 253-441-0056

Mailing address

6611 S Wapato St
Tacoma, WA 98409-9082

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, Psych/Mental Health, Adult providers in Tacoma, WA