National Provider Identifier
Lisa A Durandetto, NP
Lisa A Durandetto, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 630-1146.
Profile Overview
- NPI
- 1366408775
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- April 25, 2006
- Last Updated
- February 14, 2020
Practice Location
- 325 Essjay RD
- Williamsville, NY 14221-8243
Phone: (716) 630-1146
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1366408775
- Entity Type
- Individual
- Last Name
- Durandetto
- First Name
- Lisa
- Middle Name
- A
- Credential
- NP
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 325 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 630-1146
- Practice Fax
- (716) 817-1727
- Enumeration Date
- April 25, 2006
- Last Updated
- February 14, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 14, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)