National Provider Identifier
Brenda Lis
Brenda Lis is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 852-5900.
Profile Overview
- NPI
- 1467908244
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 31, 2016
- Last Updated
- July 27, 2023
Practice Location
- 69 Delaware Ave
- Suite 1200
- Buffalo, NY 14202
Phone: (716) 852-5900
Mailing Address
- 4373 Clinton Street
- West Seneca, NY 14224
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Occupational Health Registered Nurse (163WX0106X)
Full Record
- NPI
- 1467908244
- Entity Type
- Individual
- Last Name
- Lis
- First Name
- Brenda
- Mailing Street Address
- 4373 Clinton Street
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Practice Street Address
- 69 Delaware Ave
- Practice Address Line 2
- Suite 1200
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202
- Practice Country
- US
- Practice Phone
- (716) 852-5900
- Enumeration Date
- August 31, 2016
- Last Updated
- July 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Occupational Health Registered Nurse (163WX0106X)