Individual provider · Type 1 NPI
Brenda Lis
Psychiatric/Mental Health Nurse Practitioner · Buffalo, NY
NPI number
1467908244
Active
Practice location
69 Delaware Ave, Suite 1200
Buffalo, NY 14202
Mailing address
4373 Clinton Street
West Seneca, NY 14224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403392 (NY) |
| Occupational Health Registered Nurse | 163WX0106X | 412294-1 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1467908244
Brenda Lis's National Provider Identifier is 1467908244, issued on Aug 31, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Buffalo, NY. The record was last updated on Jul 27, 2023.