NPI 1467780825 · live from the CMS NPI Registry
Lisa Marie Canas, APRN
Nurse Practitioner, Pediatrics in West Hartford, CT. National Provider Identifier 1467780825, active.
NPI record
| NPI | 1467780825 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 200 Bloomfield Avenue, Prohealth Physicians Student Health Services, West Hartford, CT 06117 |
| Practice phone | 860-768-6601 |
| Enumerated | November 24, 2009 |
| Last updated | November 24, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 002387 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.