LISA JOAN DUFFY (NPI# 1508086398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086398 |
| Entity Type | Individual |
| Full Name | LISA JOAN DUFFY |
| Credential | CRNP |
| Practice Address |
75 South Wyoming Avenue Suite 2 Edwardsville PA 18704 |
| Practice Telephone | 5708242800 |
| Practice Fax Number | 5707181476 |
| Mailing Telephone | 5708242800 |
| Mailing Fax Number | 5707181476 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP006462B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102377793 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316114176 | Lisa Vittoria Duffy | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-05-12 |
| Street Address |
75 SOUTH WYOMING AVENUE SUITE 2 |
| City | EDWARDSVILLE |
| State | PA |
| Zip Code | 18704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321639 | Charles Joseph Scrobola | Internal Medicine | 75 South Wyoming Avenue Suite 2, Edwardsville, PA 18704 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708688 | Kirstie Ali Mcgrath | Nurse Practitioner | 6 Hairpin Dr, Edwardsville, IL 62026-1000 | 2020-04-02 |
| 1790249449 | Amanda Marie Vogel | Nurse Practitioner | 4024 Sequoia Dr, Edwardsville, IL 62025-7710 | 2019-01-28 |
| 1083126353 | Gerthy Cipus Pierre | Nurse Practitioner | 1706 Cloverdale Dr, Edwardsville, IL 62025-5500 | 2017-10-26 |
| 1871614123 | Margaret Montibeller | Nurse Practitioner | Siue Health Service, Student Success Center, Edwardsville, IL 62026-1055 | 2007-04-03 |
| 1609304401 | Beth Ann Denmon | Nurse Practitioner | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2017-05-24 |
| 1588078018 | Jacquelyn M. Clement | Nurse Practitioner | Southern Illinois University Edwardsville, School of Nursing, Edwardsville, IL 62026-1066 | 2014-06-12 |
| 1285673780 | Jamie J Ott | Nurse Practitioner | 1181 S State Route 157, Suite 200c, Edwardsville, IL 62025-3710 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 18704 |
Please comment or provide details below to improve the information on LISA JOAN DUFFY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.