National Provider Identifier

Lisa R Merritt, NP

Lisa R Merritt, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Elmira, NY and a listed phone number of (607) 271-3780.

NPI 1407496649Elmira, NYFamily Nurse Practitioner

Profile Overview

NPI
1407496649
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
January 15, 2020
Last Updated
September 04, 2024

Practice Location

  • 600 Roe Ave Fl 4
  • Elmira, NY 14905-1676

Phone: (607) 271-3780

Mailing Address

  • 600 Ivy St Ste 206
  • Elmira, NY 14905-1627

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1407496649
Entity Type
Individual
Last Name
Merritt
First Name
Lisa
Middle Name
R
Credential
NP
Mailing Street Address
600 Ivy St Ste 206
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1627
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2071
Practice Street Address
600 Roe Ave Fl 4
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1676
Practice Country
US
Practice Phone
(607) 271-3780
Practice Fax
(607) 271-3894
Enumeration Date
January 15, 2020
Last Updated
September 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)
Other Identifiers
07546647 (NY)