Active NPIIndividual provider

Lisa Decarlo

Nurse Practitioner, Family in Norwich, Connecticut

NPI Number1528467016
Practice location
330 Washington St, Suite 510, Norwich, CT 06360-2700
Fax
860-889-1982
Last updated
August 20, 2014

Lisa Decarlo is a Nurse Practitioner, Family based in Norwich, CT. Lisa Decarlo practices in Norwich, CT. The NPI Number for Lisa Decarlo is 1528467016 and holds a License No. 5857 (CT). The current practice location address for Lisa Decarlo is 330 Washington St, Suite 510, Norwich, CT 06360-2700 and can be reached out via phone at 860-885-1308 and via fax at 860-889-1982.

Provider Profile Details

NPI Number
1528467016
Provider Name
Lisa Decarlo
Provider Entity Type
Individual
Gender
Female
Address
330 Washington St, Suite 510, Norwich, CT 06360-2700
Phone Number
860-885-1308
Fax Number
860-889-1982
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2014
Last Update Date
August 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Washington St
Suite 510
Norwich, CT 06360-2700
Zip
06360-2700
Phone Number
860-885-1308
Fax Number
860-889-1982
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
40 Mansfield Ave
Willimantic, CT 06226-2018
City
Willimantic
State
CT
Zip
06226-2018
Phone Number
860-450-7471

License Information

License Number
5857
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Lisa Decarlo?

The NPI number of Lisa Decarlo is 1528467016. It was assigned on August 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Lisa Decarlo?

Lisa Decarlo is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 5857.

Where does Lisa Decarlo practice?

The practice location is 330 Washington St, Suite 510, Norwich, CT 06360-2700. The office can be reached at 860-885-1308 (phone) or 860-889-1982 (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 1528467016 directly on the NPPES registry website.

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