Individual provider · Type 1 NPI
Lisa D. Widdall
Psychiatric/Mental Health Registered Nurse · Binghamton, NY
NPI number
1891582367
Active
Practice location
425 Robinson St
Binghamton, NY 13904-1735
Mailing address
27 Clarence St
Binghamton, NY 13903-2017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 660725 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1891582367
Lisa D. Widdall's National Provider Identifier is 1891582367, issued on Apr 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Binghamton, NY. The record was last updated on Apr 21, 2025.