Lisa D Brengola, NP
Nurse Practitioner, Family in Revere, Massachusetts
1841289212- Practice location
- 425 Revere St, Revere, MA 02151-4543
- Phone
- 781-286-1313
- Fax
- 781-286-1098
- Last updated
- April 4, 2013
Lisa Dondero Brengola is a Nurse Practitioner, Family based in Revere, MA. Lisa Dondero Brengola practices in Revere, MA and has the professional credentials of NP. The NPI Number for Lisa Dondero Brengola is 1841289212 and holds a License No. 215851 (MA). The current practice location address for Lisa Dondero Brengola is 425 Revere St, Revere, MA 02151-4543 and can be reached out via phone at 781-286-1313 and via fax at 781-286-1098.
Provider Profile Details
- NPI Number
- 1841289212
- Provider Name
- Lisa Dondero Brengola
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 425 Revere St, Revere, MA 02151-4543
- Phone Number
- 781-286-1313
- Fax Number
- 781-286-1098
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- -- Lisa Dondero (Former Name)
- Provider Enumeration Date
- October 19, 2005
- Last Update Date
- April 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Revere St
Revere, MA 02151-4543 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4543
- Phone Number
- 781-286-1313
- Fax Number
- 781-286-1098
Provider Business Mailing Address Details
- Address
- 425 Revere St
Revere, MA 02151-4543 - City
- Revere
- State
- MA
- Zip
- 02151-4543
- Phone Number
- 781-286-1313
- Fax Number
- 781-286-1098
License Information
- License Number
- 215851
- License State
- MA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Revere, MA
View all Nurse Practitioner, Family providers in Revere →- Elizabeth TrangNurse Practitioner, Family · NPI 1851121057
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- Mr. John W Cann, MSN, FNP-BC, APRNNurse Practitioner, Family · NPI 1124645007
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Frequently Asked Questions
What is the NPI number of Lisa D Brengola, NP?
The NPI number of Lisa D Brengola, NP is 1841289212. It was assigned on October 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Lisa D Brengola, NP?
Lisa D Brengola, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 215851.
Where does Lisa D Brengola, NP practice?
The practice location is 425 Revere St, Revere, MA 02151-4543. The office can be reached at 781-286-1313 (phone) or 781-286-1098 (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 1841289212 directly on the NPPES registry website.