National Provider Identifier
Lisa Marie Roberts, FNP-BC
Lisa Marie Roberts, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Big Flats, NY and a listed phone number of (607) 301-4141.
Profile Overview
- NPI
- 1750558086
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 15, 2008
- Last Updated
- May 06, 2019
Practice Location
- 84 Canal St Ste 8
- Big Flats, NY 14814-8968
Phone: (607) 301-4141
Mailing Address
- 601 Elmwood Avenue Box 670
- Rochester, NY 14642-0001
Specialties
- Family Nurse Practitioner (363LF0000X)
- Neurological Surgery Physician (207T00000X)
Full Record
- NPI
- 1750558086
- Entity Type
- Individual
- Last Name
- Roberts
- First Name
- Lisa
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- FNP-BC
- Provider Other Last Name
- Learn
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- M.
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- FNP-BC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Elmwood Avenue Box 670
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 784-8842
- Mailing Fax
- (570) 882-3023
- Practice Street Address
- 84 Canal St Ste 8
- Practice City
- Big Flats
- Practice State
- NY
- Practice ZIP Code
- 14814-8968
- Practice Country
- US
- Practice Phone
- (607) 301-4141
- Practice Fax
- (607) 301-4140
- Enumeration Date
- May 15, 2008
- Last Updated
- May 06, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Neurological Surgery Physician (207T00000X)