Mrs Lisa Boule', CPNP is a
Nurse Practitioner - Pediatrics physician based in Staten Island, New York. Mrs Lisa Boule' is licensed to practice in New York (license number F381165-1) and her current practice location is 2066 Richmond Avenue, 1st Floor, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 982-9001.
NPI number for Mrs Lisa Boule' is 1437353273 and her current mailing address is 2066 Richmond Avenue, 1st Floor, Staten Island, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437353273.
Physician's Profile
| Full Name | Mrs Lisa Boule' |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 2066 Richmond Avenue, Staten Island, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437353273
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 08/03/2010
Medical Identifiers
Medical identifiers for Mrs Lisa Boule' such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437353273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0024165610 (Virginia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | F381165-1 (New York) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 358860-1 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Boule' is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lisa Boule', CPNP
2066 Richmond Avenue, 1st Floor,
Staten Island, NY 10314-3916
Ph: (718) 982-9001 | Mrs Lisa Boule', CPNP
2066 Richmond Avenue, 1st Floor,
Staten Island, NY 10314-3916
Ph: (718) 982-9001 |
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