Lisa Ethridge (NPI# 1467005140, PAC ID# 2062744428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467005140 |
| PAC ID by PECOS | 2062744428 |
| Professional Enrollment ID | I20191105000140 |
| Full Name | Lisa Ethridge |
| Organization Legal Name | BELLA VIDA HEALTH CARE AND MEDI SPA |
| Address |
328 Main St Ne Los Lunas NM 87031-7454 |
| Phone Number | 5059165446 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507092327 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 328 Main St Ne, Los Lunas, NM 87031-7454 | 5059165446 | BELLA VIDA HEALTH CARE AND MEDI SPA |
| Organization Legal Name | BELLA VIDA HEALTH CARE AND MEDI SPA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celia L Andrews | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Kimberly Streu | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 1400 Main St Nw, Suite M, Los Lunas, NM 87031-4866 |
| Michael Saiz | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Brittany Dow | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Mary H Johnson | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Ricki Armstrong | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Kathy Rebecca Fresquez-chavez | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Trina M Jensen | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Joanne M Keefe | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Jane E Brown | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Street Address |
328 MAIN ST NE |
| City | LOS LUNAS |
| State | NM |
| Zip | 87031-7454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celia L Andrews | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Michael Saiz | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Brittany Dow | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Mary H Johnson | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Ricki Armstrong | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Kathy Rebecca Fresquez-chavez | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Trina M Jensen | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Joanne M Keefe | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Jane E Brown | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 328 Main St Ne, Los Lunas, NM 87031-7454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Bender | Chiropractic | Jeffrey L. Bender, D.c., Inc. | 209 Hwy 314 Nw, Los Lunas, NM 87031 |
| Melody K Rattanapote-malaney | Physical Therapy | Armada Physical Therapy of Albuquerque LLC | 1400 Main St Nw, Suite 1 2, Los Lunas, NM 87031-4812 |
| James P Esposito | Optometry | Assured Imaging Women's Wellness of Southern Arizona, LLC | 1400 Main St Sw, Suite K, Los Lunas, NM 87031-4866 |
| Kimberly Streu | Nurse Practitioner | Bella Vida Health Care and Medi Spa | 1400 Main St Nw, Suite M, Los Lunas, NM 87031-4866 |
| Claudia G Cruz | Nurse Practitioner | 2235 Main St Ne, Suite C, Los Lunas, NM 87031-6377 | |
| Carol L Hunter | Clinical Nurse Specialist | Integrated Healthcare of New Mexico | 2235 Main St Ne, Los Lunas, NM 87031-6377 |
| Stephen L Cheshire Iii | Clinical Psychologist | Integrated Healthcare of New Mexico | 2235 Main St Ne, Suite C, Los Lunas, NM 87031-6377 |
| Sharon M Mullis | Family Medicine | Presbyterian Healthcare Services | 200 Emilio Lopez Rd, Los Lunas, NM 87031-6818 |
| Hany N Yassa | Internal Medicine | Presbyterian Healthcare Services | 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031-6818 |
| Richard L Converse Jr. | Cardiovascular Disease (cardiology) | Presbyterian Healthcare Services | 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031-6818 |
| Find all physicians in zip 87031 | |||
| City | LOS LUNAS |
| Zip Code | 87031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOS LUNAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Ethridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.