Individual
LISA ANNE BOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP, ND
Contact information
Practice address
715 S 1ST ST, MONTROSE, CO 81401-3914
(970) 249-0442
(970) 249-8495
Mailing address
715 S 1ST ST, MONTROSE, CO 81401-3914
(970) 964-8653
(970) 249-8495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-990063
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0990063-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57009571
—
CO
Enumeration date
03/04/2011
Last updated
12/23/2022
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