Individual
LISA DEVINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
315 LOCUST ST, 2ND FLOOR, JOHNSTOWN, PA 15901-1651
(814) 534-6750
(814) 534-6760
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP004823B
PA
Other
Enumeration date
06/16/2005
Last updated
10/17/2014
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