Organization
MONTROSE PSYCHIATRIC NURSE PRACTITIONERS
Active
Other names
Lisa Boffa P.l.l.c.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANNE BOFFA PMHNP, FNP, ND (PSYCHIATRIC NURSE PRACTITIONER)
(970) 964-8653
Entity
Organization
Contact information
Practice address
5 HILLCREST PLAZA WAY, MONTROSE, CO 81401-5876
(970) 964-8653
(970) 249-8495
Mailing address
5 HILLCREST PLAZA WAY, MONTROSE, CO 81401-5876
(970) 964-8653
(970) 249-8495
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942508635
—
CO
Enumeration date
04/28/2022
Last updated
05/22/2024
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