MRS. LISA BOULE' CPNP NPI 1437353273

NPI Information

NPI: 1437353273
Provider Name: MRS. LISA BOULE', CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2066 RICHMOND AVENUE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10314
Phone: (718) 982-9001
Get Directions

MRS. Lisa Boule', CPNP is a pediatrics nurse practitioner in Staten Island, NY. MRS. Lisa Boule', CPNP NPI is 1437353273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2066 RICHMOND AVENUE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10314-916
Phone: (718) 982-9001
Fax: (718) 982-9008

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0024165610	VIRGINIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	358860-1	NEW YORK	No
3	363LP0200X	Nurse Practitioner	Pediatrics	F381165-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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