Individual provider · Type 1 NPI

Lisa Ann Petrella, FNP-C

Family Nurse Practitioner · Cortland, NY

NPI number 1902628555 Active

Practice location

134 Homer Ave
Cortland, NY 13045-1206

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	354427 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1902628555

Lisa Ann Petrella, FNP-C's National Provider Identifier is 1902628555, issued on Oct 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cortland, NY. The record was last updated on Sep 25, 2026.