Lisa Ann Artale, RN
Individual provider Active NPI Registered Nurse · Centereach, NY
NPI 1639499072 · NPPES record last updated Jun 8, 2010
Key facts
- NPI
- 1639499072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 566125-1 (NY)
- Practice address
- 10 Layton LN
Centereach, NY 11720-3631 - Phone
- (631) 648-3198
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 566125-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 566125-1 | NY | Yes |
Addresses
Primary practice location
10 Layton LN
Centereach, NY 11720-3631
Mailing address
10 Layton LN
Centereach, NY 11720-3631
Phone (631) 648-3198
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 566125-1 | Medicaid | NY |
Other providers in Centereach, NY
- Danielle A Angelo
- Alyssa Margaret Angilella
- Anthony J Anzalone
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- Koren C Arevalo
- Eva Asamoah
- Katherine Atatsi
- Ilene Robin Augenlicht
- Malak Ishak Azab
- Wendy Jean Azmoun
All providers in Centereach, NY · 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 Jun 8, 2010. 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.