Nissa Breann Lucero (NPI# 1811294697, PAC ID# 5092072645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811294697 |
| PAC ID by PECOS | 5092072645 |
| Professional Enrollment ID | I20171206002636 |
| Full Name | Nissa Breann Lucero |
| Address |
1900 S Reserve St Missoula MT 59801-6455 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1900 S Reserve St, Missoula, MT 59801-6455 |
| Street Address |
1900 S RESERVE ST |
| City | MISSOULA |
| State | MT |
| Zip | 59801-6455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coral E Beck | Clinical Social Worker | 700 S Ave W F, Missoula, MT 59801-0811 | |
| Marianne Spitzform | Psychologist, Clinical | 2237 S 3rd St W, Missoula, MT 59801-1334 | |
| Jillian Henderson | Clinical Social Worker | Western Montana Mental Health Center | 1325 Wyoming St, Missoula, MT 59801-1725 |
| Kimberly G Nottestad | Clinical Social Worker | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Kaley R Radermacher | Clinical Social Worker | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Teresa W Francis | Nurse Practitioner | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Heather R Brown | Nurse Practitioner | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Christine M Nicklay | Clinical Social Worker | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Marlene K Tocher | Nurse Practitioner | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Carly J Hillenbrand | Nurse Practitioner | Western Montana Mental Health Center | 1315 Wyoming St, Missoula, MT 59801-1725 |
| Find all physicians in zip 59801 | |||
| City | MISSOULA |
| Zip Code | 59801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MISSOULA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nissa Breann Lucero.
| 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.