Lisa Angle
Individual provider Active NPI School Registered Nurse · Rome, NY
NPI 1326440975 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1326440975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 691465 (NY)
- Practice address
- 8194 Bielby Rd
Rome, NY 13440-1915 - Phone
- (315) 334-1260
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691465 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 691465 | NY | Yes |
Addresses
Primary practice location
8194 Bielby Rd
Rome, NY 13440-1915
Mailing address
123 Cooper Street
Oriskany Falls, NY 13425
Other providers in Rome, NY
- Jeffrey D Amidon
- Leo Ismaila Amodu
- Anand I Desai MD PC
- Christie L Andrews
- Karen Lee Angarano
- Mark Charles Anken
- Stuart Warren Anken
- Sparkle Anthony
- Maida L Appleton
- Jennifer Arcuri
All providers in Rome, NY · School Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.