Boule', Lisa

Boule', Lisa is an individual health care provider with primary practice located at 2066 Richmond Avenue 1St Floor, Staten Island NY 10314-3916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Boule', Lisa can be contacted via phone (718) 982-9001.

Contact Information

Primary practice address
2066 Richmond Avenue 1St Floor Staten Island NY 10314-3916
Phone: (718) 982-9001
Fax: (718) 982-9008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0024165610 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381165-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 358860-1 New York

Profile Details

NPI number 1437353273
LBN Legal business name Boule', Lisa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Aug 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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