Lisa Marie Staiti CPNP

NPI 1134445265 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1134445265
Gender Female
Enumeration Date 04/14/2010
Last Updated 11/09/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
266 MAIN ST
GARDNER MA, 01440, US
Phone (978) 630-5030
Fax (978) 630-5033
Business Location
100 HOSPITAL RD
STE 4
LEOMINSTER MA, 01453-2253, US
Phone (978) 514-6300
Fax (978) 514-6321
Toxanomy
Taxonomy Code 363LP0200X
License State Massachusetts
License Number RS255919
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According to our database, Mrs. Lisa Marie Staiti CPNP NPI is 1134445265, taxonomy code is 363LP0200X and license number is RS255919, license state is located at Massachusetts. Lisa Marie Staiti CPNP physically located at 266 Main St, Gardner MA, 01440. NPI Number Lisa Marie Staiti CPNP has the Individual type.

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1134445265 NPI number is provided on an as is basis without warranty of any kind. 1134445265 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie Staiti CPNP are for informational purposes only.