National Provider Identifier
Lisa Wallenfels, NP
Lisa Wallenfels, NP is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 639-4034.
Profile Overview
- NPI
- 1891839064
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Nurse Practitioner
- Enumeration Date
- February 19, 2007
- Last Updated
- September 27, 2019
Practice Location
- 1360 N Forest RD
- Ste 102
- Williamsville, NY 14221-1200
Phone: (716) 639-4034
Mailing Address
- 2240 North Forest RD.
- Williamsville, NY 14221
Specialties
- Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
- Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
Full Record
- NPI
- 1891839064
- Entity Type
- Individual
- Last Name
- Wallenfels
- First Name
- Lisa
- Credential
- NP
- Mailing Street Address
- 2240 North Forest RD.
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 639-4034
- Mailing Fax
- (716) 639-7814
- Practice Street Address
- 1360 N Forest RD
- Practice Address Line 2
- Ste 102
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-1200
- Practice Country
- US
- Practice Phone
- (716) 639-4034
- Practice Fax
- (716) 639-7814
- Enumeration Date
- February 19, 2007
- Last Updated
- September 27, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Nurse Practitioner (363LX0001X), Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
- Other Identifiers
- 000560362003 (NY, BCBS), 9512212 (NY, Iha)