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Individual
LISA LIBONATI
Active
Individual
LISA LIBONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APRN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633467
NY
363L00000X
Nurse Practitioner
344795
NY
363L00000X
Nurse Practitioner
Primary
APRN11005466
FL
363LF0000X
Family Nurse Practitioner
11005466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105666300
—
FL
Enumeration date
08/28/2017
Last updated
11/15/2021
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