Individual
MS. LISA MORIARTY KIRSCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1559 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2712
(860) 696-2450
(860) 696-2360
Mailing address
1559 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2712
(860) 696-2350
(860) 696-2360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275867301
NPI
—
01
—
4206
CT APRN LICENSE
CT
01
—
RN2262902
MA LICENSE
MA
Enumeration date
09/22/2009
Last updated
09/29/2025
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