Individual
LISA DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
46 NORTH ST, HYANNIS, MA 02601-3845
(508) 771-0006
Mailing address
46 NORTH ST, HYANNIS, MA 02601-3845
(508) 771-0006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2286200
MA
Other
Enumeration date
09/10/2019
Last updated
08/24/2022
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