Individual provider · Type 1 NPI
Lisa Marie Canas, APRN
Pediatric Nurse Practitioner · West Hartford, CT
NPI number
1467780825
Active
Practice location
200 Bloomfield Avenue, Prohealth Physicians Student Health Services
West Hartford, CT 06117
Fax (860) 768-5140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 002387 (CT) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1467780825
Lisa Marie Canas, APRN's National Provider Identifier is 1467780825, issued on Nov 24, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Hartford, CT. The record was last updated on Nov 24, 2009.