person
Lisa Anne Dewilde, FNP
Family Nurse Practitioner in Rochester, New York
NPI 1548782204

Lisa Anne Dewilde is a Family Nurse Practitioner based in Rochester, NY and is specialized in Family. Lisa Anne Dewilde practices in Rochester, NY and has the professional credentials of FNP. The NPI Number for Lisa Anne Dewilde is 1548782204 and holds a License No. F3418541 (New York).

The current practice location address for Lisa Anne Dewilde is 1555 Long Pond Road Department Of Medicine, Rochester, NY and can be reached out via phone at 585-723-7870 and via fax at 585-723-7871.

Location: 1555 Long Pond Road Department Of Medicine, Rochester, NY, 14626-4122
person
Provider Profile Details
NPI Number
1548782204
Provider Name
Lisa Anne Dewilde
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1555 Long Pond Road Department Of Medicine, Rochester, NY, 14626-4122
Phone Number
585-723-7870
Fax Number
585-723-7871
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04833414 05 NY
institution
Provider Business Practice Location Address Details
Address
1555 Long Pond Road Department Of Medicine
City
State
Zip
14626-4122
Phone Number
585-723-7870
Fax Number
585-723-7871
person
Provider Business Mailing Address Details
Address
1555 Long Pond Road Department Of Medicine
City
State
Zip
14626-4122
Phone Number
585-723-7870
Fax Number
585-723-7871
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F3418541 (New York)
Definition
Definition to come...
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