Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reanna Sade Lizardo

Individual provider Athletic Trainer · NPI 1417600438

Reanna Sade Lizardo is an Athletic Trainer in Nutley, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

340 Kingsland St
Nutley, NJ 07110-1150
Phone: (973) 761-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1417600438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 27, 2022
Mailing address376 E 8th St Apt C6, Brooklyn, NY 11218-4258

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