Lisa M Ennis, NP
NPI #1174510242 in New Hartford, New York
Provider Information
- NPI Number
- 1174510242
- Entity Type
- Individual
- Name
- Lisa M Ennis, NP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1729 BURRSTONE RD
- City
- New Hartford
- State
- New York
- ZIP Code
- 13413-1001
- Phone
- (315) 798-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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