Lisa L. Dornick, ARNP
Nurse Practitioner, Family in Muncie, IN. Individual provider (NPI-1).
NPI number1831789080
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1831789080
- Entity type
- Individual (NPI-1)
- Name
- Lisa L. Dornick
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2021
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28168625A | IN | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP61627858 | WA | |
| 363LF0000X | Nurse Practitioner, Family | 10041553 | OR |
Practice location
2525 W University Ave Ste 504Muncie, IN 47303-3409
Phone 765-289-7444
Mailing address
1217 S Rangeline RdCarmel, IN 46032-2519
Other practice locations
1217 S Rangeline Rd
Carmel, IN 46032-2519
Carmel, IN 46032-2519
Phone 317-574-4680
780 Swift Blvd Ste 101
Richland, WA 99352-3545
Richland, WA 99352-3545
Phone 509-942-3060
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