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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 9515406 (NY, Iha), 03064697 (NY), 0569838 (NY, Ghi), 000531082001 (NY, BCBS)