NPI 1003811175

Lisa Devineni, CRNP

Practitioner Nurse Practitioner Johnstown, PA

Practice location

Address: 315 Locust St 2nd Floor, Johnstown, PA 15901-1651
Phone: (814) 534-6750
Fax: (814) 534-6760
Mailing address: 1086 Franklin St, Johnstown, PA 15905-4305

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence VP004823B (PA)

Other Nurse Practitioner providers in Pennsylvania →

Registry record

NPI: 1003811175
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2005
Record last updated: 17 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.