Nutter, Lisa

Nutter, Lisa is an individual health care provider with primary practice located at 12 Alfred St Suite 200, Woburn MA 01801-1972. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nutter, Lisa can be contacted via phone (781) 646-0500.

Contact Information

Primary practice address
12 Alfred St Suite 200 Woburn MA 01801-1972
Phone: (781) 646-0500
Fax: (781) 646-7130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 229836 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1114114410
LBN Legal business name Nutter, Lisa
Credentials RN/PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Aug 17th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114114410 NPPES
Massachusetts MEDICAID 1305638

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