Provider Demographics
NPI:1548848260
Name:NUGENT, LISA ELIZABETH (RN)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ELIZABETH
Last Name:NUGENT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-6136
Mailing Address - Country:US
Mailing Address - Phone:508-802-7435
Mailing Address - Fax:
Practice Address - Street 1:135 GOLDFINCH DR
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-6136
Practice Address - Country:US
Practice Address - Phone:508-802-7435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171871163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn