National Provider Identifier
Lisa Wallin, ANP-C, CWS
Lisa Wallin, ANP-C, CWS is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 262-9100.
Profile Overview
- NPI
- 1114933421
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- July 31, 2006
- Last Updated
- July 05, 2023
Practice Location
- 160 Sawgrass Dr Ste 130
- Rochester, NY 14620-4655
Phone: (585) 262-9100
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Nurse Practitioner (363L00000X)
- Wound Care Registered Nurse (163WW0000X)
Full Record
- NPI
- 1114933421
- Entity Type
- Individual
- Last Name
- Wallin
- First Name
- Lisa
- Credential
- ANP-C, CWS
- Mailing Street Address
- 160 Sawgrass Dr Ste 130
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4655
- Mailing Country
- US
- Mailing Phone
- (585) 262-9100
- Mailing Fax
- (585) 256-2046
- Practice Street Address
- 160 Sawgrass Dr Ste 130
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4655
- Practice Country
- US
- Practice Phone
- (585) 262-9100
- Practice Fax
- (585) 256-2046
- Enumeration Date
- July 31, 2006
- Last Updated
- July 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 13, 2020
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Nurse Practitioner (363L00000X), Wound Care Registered Nurse (163WW0000X)