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Lisa M. Dedomenico, CRNP,MSN
Nurse Practitioner in Kingston, Pennsylvania
NPI 1184657751

Lisa M. Dedomenico is a Nurse Practitioner based in Danville, PA. Lisa M. Dedomenico practices in Kingston, PA and has the professional credentials of CRNP,MSN. The NPI Number for Lisa M. Dedomenico is 1184657751 and holds a License No. TP001029G (Pennsylvania).

The current practice location address for Lisa M. Dedomenico is 190 Welles St, Kingston, PA and can be reached out via phone at 570-714-1099 and via fax at 570-714-1116.

Location: 190 Welles St, Kingston, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184657751
Provider Name
Lisa M. Dedomenico
Credential
CRNP,MSN
Provider Entity Type
Individual
Gender
Female
Address
190 Welles St, Kingston, PA, 17822-4903
Phone Number
570-714-1099
Fax Number
570-714-1116
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
190 Welles St
City
Kingston
State
Pennsylvania
Zip
18704-4968
Phone Number
570-714-1099
Fax Number
570-714-1116
person
Provider Business Mailing Address Details
Address
190 Welles St
City
Kingston
State
Pennsylvania
Zip
18704-4968
Phone Number
570-714-1099
Fax Number
570-714-1116
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
TP001029G (Pennsylvania)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
TP001029G (Pennsylvania)
Definition
Definition to come...
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