National Provider Identifier

Lisa Christine Condefer-Smith, NP

Lisa Christine Condefer-Smith, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Corning, NY and a listed phone number of (607) 684-6115.

NPI 1710258033Corning, NYPediatric Nurse Practitioner

Profile Overview

NPI
1710258033
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
January 18, 2012
Last Updated
January 18, 2012

Practice Location

  • 88 Tioga Ave
  • Suite 102
  • Corning, NY 14870

Phone: (607) 684-6115

Mailing Address

  • 88 Tioga Ave.
  • Suite 102
  • Corning, NY 14870

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1710258033
Entity Type
Individual
Last Name
Condefer-Smith
First Name
Lisa
Middle Name
Christine
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
88 Tioga Ave.
Mailing Address Line 2
Suite 102
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14870
Mailing Country
US
Mailing Phone
(607) 684-6115
Mailing Fax
(607) 684-6120
Practice Street Address
88 Tioga Ave
Practice Address Line 2
Suite 102
Practice City
Corning
Practice State
NY
Practice ZIP Code
14870
Practice Country
US
Practice Phone
(607) 684-6115
Practice Fax
(607) 684-6120
Enumeration Date
January 18, 2012
Last Updated
January 18, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X)