LISA A NELSON NP-PSYCHIATRY NPI 1700271020

NPI Information

NPI: 1700271020
Provider Name: LISA A NELSON NP-PSYCHIATRY
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3771 NESCONSET HWY
SUITE 212
SOUTH SETAUKET, NY
ZIP 11720
Phone: (631) 689-5390
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LISA A NELSON NP-PSYCHIATRY is a psychiatric/mental health registered nurse in South Setauket, NY. LISA A NELSON NP-PSYCHIATRY NPI is 1700271020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3771 NESCONSET HWY
SUITE 212
SOUTH SETAUKET, NY
ZIP 11720-163
Phone: (631) 689-5390
Fax: (631) 689-5395

The provider's authorized official is Lisa Nelson .
The authorized official title is Owner and has the following contact phone number (516) 639-5109.

The enumeration date for this NPI number is 4/2/2015 and was last updated on 3/7/2016.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	F401077	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CCCCC	MEDICARE PIN	NEW YORK

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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