Mrs. Lisa M Staiti, CPNP
Nurse Practitioner, Pediatrics in Gardner, Massachusetts
1134445265- Practice location
- 266 Main St, Gardner, MA 01440
- Phone
- 978-630-5030
- Fax
- 978-630-5033
- Last updated
- November 9, 2011
Lisa Marie Staiti is a Nurse Practitioner, Pediatrics based in Gardner, MA. Lisa Marie Staiti practices in Gardner, MA and has the professional credentials of CPNP. The NPI Number for Lisa Marie Staiti is 1134445265 and holds a License No. RS255919 (MA). The current practice location address for Lisa Marie Staiti is 266 Main St, Gardner, MA 01440 and can be reached out via phone at 978-630-5030 and via fax at 978-630-5033.
Provider Profile Details
- NPI Number
- 1134445265
- Provider Name
- Lisa Marie Staiti
- Credential
- CPNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 266 Main St, Gardner, MA 01440
- Phone Number
- 978-630-5030
- Fax Number
- 978-630-5033
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 14, 2010
- Last Update Date
- November 9, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 266 Main St
Gardner, MA 01440 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440
- Phone Number
- 978-630-5030
- Fax Number
- 978-630-5033
Provider Business Mailing Address Details
- Address
- 100 Hospital RD
Ste 4
Leominster, MA 01453-2253 - City
- Leominster
- State
- MA
- Zip
- 01453-2253
- Phone Number
- 978-514-6300
- Fax Number
- 978-514-6321
License Information
- License Number
- RS255919
- License State
- MA
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Lisa M Staiti, CPNP?
The NPI number of Mrs. Lisa M Staiti, CPNP is 1134445265. It was assigned on April 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lisa M Staiti, CPNP?
Mrs. Lisa M Staiti, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RS255919.
Where does Mrs. Lisa M Staiti, CPNP practice?
The practice location is 266 Main St, Gardner, MA 01440. The office can be reached at 978-630-5030 (phone) or 978-630-5033 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134445265 directly on the NPPES registry website.