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NPI Code Detail

MEDICARE: LISA FEITSHANS MS, ANP, PNP

MEDICARE: LISA FEITSHANS MS, ANP, PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF303462NY
2363LP0200XPediatric Nurse PractitionerF381665NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023074069
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA FEITSHANS MS, ANP, PNP
Provider Business Mailing Address
First Line : 860 MAIN RD
Second Line :
City : CORFU
State : NY
Zip : 14036-9753
Country : US
Telephone Number : 585-599-6446
Fax Number : 585-599-3166
Provider Business Practice Location Address
First Line : 860 MAIN RD
Second Line :
City : CORFU
State : NY
Zip : 14036-9753
Country : US
Telephone Number : 585-599-6446
Fax Number : 585-599-3166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/11/2025

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