| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA GHILONI | 1770192775 | 2023-11-03 |
Lisa Ghiloni is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770192775. Registration indicates Lisa Ghiloni is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Dr. Lisa Ghiloni PHD, MSN, PMHNP-BC |
| Practice Office Address | 800 BONAVENTURE WAY STE 126 SUGAR LAND, TX US |
| Practice Office Telephone | 8324297307 |
| Mailing Address | 800 BONAVENTURE WAY STE 126 SUGAR LAND, TX 774798006 US |
| Business Telephone | 8324297307 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 6809 N 10th St | Philadelphia, PA 191262906 | 6143545472 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 1031772
TX |
| 193400000X SING | Group Code |