Individual provider · Type 1 NPI
Lisa Clement-Defalco, NP
Psychiatric/Mental Health Nurse Practitioner · Earlysville, VA
NPI number
1053711044
Active
Practice location
3155 Earlysville Rd
Earlysville, VA 22936-9561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2014014501 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024171905 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1053711044
Lisa Clement-Defalco, NP's National Provider Identifier is 1053711044, issued on Aug 27, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Earlysville, VA. The record was last updated on Apr 27, 2021.