National Provider Identifier
Lisa Marlin Dasta, FNP-C
Lisa Marlin Dasta, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 323-6050.
Profile Overview
- NPI
- 1427345875
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 06, 2011
- Last Updated
- February 02, 2023
Practice Location
- 1001 Main St.
- Buffalo, NY 14203
Phone: (716) 323-6050
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1427345875
- Entity Type
- Individual
- Last Name
- Dasta
- First Name
- Lisa
- Middle Name
- Marlin
- Name Prefix
- Mrs.
- Credential
- FNP-C
- Provider Other Last Name
- Marlin
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- Michelle
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1001 Main St.
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203
- Mailing Country
- US
- Mailing Phone
- (716) 323-6050
- Mailing Fax
- (716) 323-6672
- Practice Street Address
- 1001 Main St.
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 323-6050
- Practice Fax
- (716) 323-6672
- Enumeration Date
- July 06, 2011
- Last Updated
- February 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)