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NPI Code Detail

MEDICARE: LISA ANN BIANCHI-ATLAS

MEDICARE:   LISA ANN BIANCHI-ATLAS
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
1363LF0000XFamily Nurse PractitionerF12250584NJ

General Provider Information

NPI Number : 1629910310
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN BIANCHI-ATLAS
Provider Business Mailing Address
First Line : 403 COUNTY ROAD 513
Second Line :
City : CALIFON
State : NJ
Zip : 07830-4168
Country : US
Telephone Number : 908-328-8932
Fax Number :
Provider Business Practice Location Address
First Line : 403 COUNTY ROAD 513
Second Line :
City : CALIFON
State : NJ
Zip : 07830-4168
Country : US
Telephone Number : 908-328-8932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ LISA ANN BIANCHI-ATLAS ” Practice Location

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