Individual provider · Type 1 NPI

Lisa Ann Dettorre, CPNP

Nurse Practitioner · Akron, OH

NPI number 1780805960 Active

Practice location

701 White Pond Dr Ste 100
Akron, OH 44320-1193

Fax (330) 865-1260

Mailing address

1 Perkins Sq
Akron, OH 44308-1063

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCOA.01157-NP (OH)

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 1780805960

Lisa Ann Dettorre, CPNP's National Provider Identifier is 1780805960, issued on May 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Akron, OH. The record was last updated on Dec 7, 2015.