person
Lisa A Walter, NP
Family Nurse Practitioner in Jamestown, New York
NPI 1740445519

Lisa A Walter is a Family Nurse Practitioner based in Jamestown, NY and is specialized in Family. Lisa A Walter practices in Jamestown, NY and has the professional credentials of NP. The NPI Number for Lisa A Walter is 1740445519 and holds a License No. F335710-1 (New York).

The current practice location address for Lisa A Walter is 117 Foote Avenue, Jamestown, NY and can be reached out via phone at 716-338-9200.

Location: 117 Foote Avenue, Jamestown, NY, 14701-6947
person
Provider Profile Details
NPI Number
1740445519
Provider Name
Lisa A Walter
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
117 Foote Avenue, Jamestown, NY, 14701-6947
Phone Number
716-338-9200
Fax Number
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9515406 01 NY IHA
03064697 05 NY
0569838 01 NY GHI
000531082001 01 NY BCBS
institution
Provider Business Practice Location Address Details
Address
117 Foote Avenue
City
State
Zip
14701
Phone Number
716-338-9200
Fax Number
person
Provider Business Mailing Address Details
Address
117 Foote Avenue
City
State
Zip
14701
Phone Number
716-338-9200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F335710-1 (New York)
Definition
Definition to come...
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