Individual provider · Type 1 NPI

Lisa Marie Wilson, NP

Registered Nurse · Rochester, NY

NPI number 1134415755 Active

Practice location

2760 Monroe Ave Ste 401B
Rochester, NY 14618-4116

Call (585) 397-3752 Map

Mailing address

PO Box 500
Ellicottville, NY 14731-0500

Other practice locations

1288 Telephone Rd, Rush, NY 14543-9739 · (585) 309-9987

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	345130 (NY)
Registered Nurse Primary	163W00000X	605899-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1134415755

Lisa Marie Wilson, NP's National Provider Identifier is 1134415755, issued on Jun 22, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Rochester, NY. The record was last updated on Feb 6, 2023.