Provider Demographics
NPI:1922313212
Name:MORSE, LISA STEPHANIE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:STEPHANIE
Last Name:MORSE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 S FORT APACHE RD # 460
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-7700
Mailing Address - Country:US
Mailing Address - Phone:949-874-1164
Mailing Address - Fax:720-862-3640
Practice Address - Street 1:5510 S FORT APACHE RD # 460
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7700
Practice Address - Country:US
Practice Address - Phone:949-874-1164
Practice Address - Fax:720-862-3640
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV848934163W00000X, 363LP0808X
CA711788163W00000X
NY725922163W00000X
CO193033163W00000X
FL11011163363LP0808X
CA95009342363LP0808X
AZAP11246363LP0808X
COAPN.0993840-NP363LP0808X
CANP95009342363LP0808X
NY402806363LP0808X
CO0993840363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse