# LISA A NELSON NP-PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700271020
- **Authorized official:** LISA NELSON NP (OWNER)
- **Authorized official phone:** (516) 639-5109

## Contact information

- **Practice address:** 3771 NESCONSET HWY, SUITE 212, SOUTH SETAUKET, NY 11720-1163
- **Practice address phone:** (631) 689-5390
- **Practice address fax:** (631) 689-5395
- **Mailing address:** 3771 NESCONSET HWY, SUITE 212, SOUTH SETAUKET, NY 11720-1163
- **Mailing address phone:** (631) 689-5390
- **Mailing address fax:** (631) 689-5395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | F401077 | NY | Yes |

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 03/07/2016