Individual provider · Type 1 NPI

Lisa Devineni, CRNP

Nurse Practitioner · Johnstown, PA

NPI number 1003811175 Active

Practice location

315 Locust St, 2nd Floor
Johnstown, PA 15901-1651

Fax (814) 534-6760

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XVP004823B (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003811175

Lisa Devineni, CRNP's National Provider Identifier is 1003811175, issued on Jun 16, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnstown, PA. The record was last updated on Oct 17, 2014.