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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA BOULE', CPNP

Active

MRS. LISA BOULE', CPNP is a Pediatric Nurse Practitioner healthcare provider located in STATEN ISLAND, New York. NPI 1437353273 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · STATEN ISLAND, NY

Registration Details

NPI Number
1437353273
Provider Type
Individual
Gender
Female
NPI Issued
Jun 14, 2007 (19.126669947852 yrs)
Last Updated
Aug 3, 2010
Licenses
0024165610 (VA)
F381165-1 (NY)
358860-1 (NY)

Practice Information

Address
2066 RICHMOND AVENUE
1ST FLOOR
STATEN ISLAND, NY, 103143916
Browse NY providers · Browse ZIP 10314
Phone
7189829001
Fax
7189829008
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in STATEN ISLAND, NY

Name Credential NPI
MARY MARGARET ORAZEM CPNP 1245225531
ELIZABETH VILLAVICENCIO NURSE PRACT 1790772010
MRS. CARMEN ROSA ARROYO MS/CPNP-PC 1447241534
MRS. PATRICIA DISCENZA NP 1659362887
MRS. JENIFER LYNN REHA-CAHILL NP 1205895240
MIRIAM S BLAU R.N., P.N.P. 1780884205
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.