Individual
LISA FEITSHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ANP, PNP
Contact information
Practice address
860 MAIN RD, CORFU, NY 14036-9753
(585) 599-6446
(585) 599-3166
Mailing address
860 MAIN RD, CORFU, NY 14036-9753
(585) 599-6446
(585) 599-3166
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F303462
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02319111
—
NY
Enumeration date
04/26/2006
Last updated
09/11/2025
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