Active NPIIndividual provider

Lisa Wydra

Nurse Practitioner, Family in Hazlet, New Jersey

NPI Number1780916916
Practice location
3391 Highway 35, Hazlet, NJ 07730-1521
Fax
—
Last updated
January 24, 2019

Lisa Wydra is a Nurse Practitioner, Family based in Hazlet, NJ. Lisa Wydra practices in Hazlet, NJ. The NPI Number for Lisa Wydra is 1780916916 and holds a License No. 26nj00285700 (NJ). The current practice location address for Lisa Wydra is 3391 Highway 35, Hazlet, NJ 07730-1521 and can be reached out via phone at 732-888-8299.

Provider Profile Details

NPI Number
1780916916
Provider Name
Lisa Wydra
Provider Entity Type
Individual
Gender
Female
Address
3391 Highway 35, Hazlet, NJ 07730-1521
Phone Number
732-888-8299
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2010
Last Update Date
January 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3391 Highway 35
Hazlet, NJ 07730-1521
City
Hazlet
Zip
07730-1521
Phone Number
732-888-8299
Hazlet, NJ 07730Get directions →

Provider Business Mailing Address Details

Address
3391 Highway 35
Hazlet, NJ 07730-1521
City
Hazlet
State
NJ
Zip
07730-1521
Phone Number
732-888-8299

License Information

License Number (1)
26nj00285700
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
26NR09130100
License State (2)
NJ
Taxonomy (2)
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 Wydra?

The NPI number of Lisa Wydra is 1780916916. It was assigned on February 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Lisa Wydra?

Lisa Wydra is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26nj00285700.

Where does Lisa Wydra practice?

The practice location is 3391 Highway 35, Hazlet, NJ 07730-1521. The office can be reached at 732-888-8299 (phone).

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 1780916916 directly on the NPPES registry website.

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