National Provider Identifier

Lisa A Walter, N.P.

Lisa A Walter, N.P. is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 338-9200.

NPI 1740445519Jamestown, NYFamily Nurse Practitioner

Source: public NPPES record, last updated July 25, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1740445519
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 22, 2008
Last Updated
July 25, 2016

Practice Location

  • 117 Foote Avenue
  • Suite 100
  • Jamestown, NY 14701

Phone: (716) 338-9200

Mailing Address

  • 117 Foote Ave
  • Jamestown, NY 14701-6947

Specialties

  • Family Nurse Practitioner (363LF0000X)

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Full Record
NPI
1740445519
Entity Type
Individual
Last Name
Walter
First Name
Lisa
Middle Name
A
Credential
N.P.
Provider Other Last Name
Raymond
Provider Other First Name
Lisa
Provider Other Middle Name
A
Provider Other Credential Text
N.P.
Provider Other Last Name Type Code
1
Mailing Street Address
117 Foote Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6947
Mailing Country
US
Mailing Phone
(716) 338-9500
Practice Street Address
117 Foote Avenue
Practice Address Line 2
Suite 100
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701
Practice Country
US
Practice Phone
(716) 338-9200
Enumeration Date
July 22, 2008
Last Updated
July 25, 2016
Sex
Female
Sole Proprietor
No
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
9515406 (NY, Iha), 03064697 (NY), 0569838 (NY, Ghi), 000531082001 (NY, BCBS)