Provider Demographics
NPI:1902511330
Name:MCALLISTER, LISA (DHA, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:DHA, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37004 ASCELLA LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2788
Mailing Address - Country:US
Mailing Address - Phone:951-375-6021
Mailing Address - Fax:
Practice Address - Street 1:28237 LA PIEDRA RD RM 723
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8995
Practice Address - Country:US
Practice Address - Phone:951-487-3207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily