Lisa Devineni
Nurse Practitioner
315 Locust St 2nd Floor
Johnstown
, Pennsylvania 15901-1651
Lisa Devineni
Nurse Practitioner
315 Locust St 2nd Floor
Johnstown
, Pennsylvania 15901-1651
(814) 410-8331
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Lisa Devineni
- 1086 Franklin St
- Johnstown, PA
- Zip : 15905-4305
- Fax : (814) 410-8331
- Phone : (814) 410-8300
Second Address
- Lisa Devineni
- 315 Locust St 2nd Floor
- Johnstown, PA
- Zip : 15901-1651
- Fax : (814) 534-6760
- Phone : (814) 534-6750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | VP004823B | PA |
National Provider Identifier
| NPI | 1003811175 |
|---|---|
| Provider Name | Lisa Devineni |
| First Address | Johnstown, PA 15905-4305 |
| Second Address | Johnstown, PA 15901-1651 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 17/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S49391 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.