Provider Demographics
NPI:1902605652
Name:FLANCIA, LIZA C (APN, FNP-C)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:C
Last Name:FLANCIA
Suffix:
Gender:
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 S OHIO AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-6711
Mailing Address - Country:US
Mailing Address - Phone:609-572-8600
Mailing Address - Fax:609-572-8667
Practice Address - Street 1:7 S OHIO AVE STE 1400
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6711
Practice Address - Country:US
Practice Address - Phone:609-572-8600
Practice Address - Fax:609-572-8667
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15209100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily