Provider Demographics
NPI:1285722124
Name:MCNEY, LISA MARIE (NP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:MCNEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:MARIE
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:400 PARNASSUS AVE
Mailing Address - Street 2:A502
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0324
Mailing Address - Country:US
Mailing Address - Phone:415-514-6283
Mailing Address - Fax:415-353-2467
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:A502
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0324
Practice Address - Country:US
Practice Address - Phone:415-514-6283
Practice Address - Fax:415-353-2467
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16571363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner