Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISSA BOILEAU
Active Sole ProprietorLISSA BOILEAU is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in RONKONKOMA, New York. NPI 1174840367 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · RONKONKOMA, NY
Registration Details
- NPI Number
- 1174840367
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2010 (16.325724476295 yrs)
- Last Updated
- Feb 6, 2025
- Licenses
-
22609284 (NY)406771 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 THE PLZRONKONKOMA, NY, 117795849Browse NY providers · Browse ZIP 11779
- Phone
- 6316762765
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. ROSEMARY P LUKE | NPP | 1255412540 |
| MRS. SUZANNE MARGARET KONTAK | PMHNP-BC, ANP-C, RN | 1972915387 |
| REGGIE DONALD VALDEMAR | PHMNP | 1285374660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.