National Provider Identifier
Lisa Anne Dewilde, FNP
Lisa Anne Dewilde, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7870.
Profile Overview
- NPI
- 1548782204
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 13, 2017
- Last Updated
- March 01, 2018
Practice Location
- 1555 Long Pond Road Department Of Medicine
- Rochester, NY 14626-4122
Phone: (585) 723-7870
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1548782204
- Entity Type
- Individual
- Last Name
- Dewilde
- First Name
- Lisa
- Middle Name
- Anne
- Credential
- FNP
- Mailing Street Address
- 1555 Long Pond Road Department Of Medicine
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7870
- Mailing Fax
- (585) 723-7871
- Practice Street Address
- 1555 Long Pond Road Department Of Medicine
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7870
- Practice Fax
- (585) 723-7871
- Enumeration Date
- July 13, 2017
- Last Updated
- March 01, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 04833414 (NY)