Individual
LISA ENDANATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
88 PARK AVE STE 2A, NUTLEY, NJ 07110-3500
(973) 571-2121
Mailing address
9 E PALISADES AVE, NANUET, NY 10954-3345
(845) 709-1490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350529
NY
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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