| Miss Lisa Nutter, RN/PC | |
|
12 Alfred St, Suite 200, Woburn, MA 01801-1972 | |
| (781) 646-0500 | |
| (781) 646-7130 |
| Full Name | Miss Lisa Nutter |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 18 Years |
| Location | 12 Alfred St, Woburn, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114114410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 229836 (Massachusetts) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Child And Family Psychological Services Pllc | 5991763823 | 260 |
| Entity Name | Child and Family Psychological Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lisa Nutter, RN/PC 36 Phoebe Ave, Lowell, MA 01854-2409 Ph: (978) 459-8836 | Miss Lisa Nutter, RN/PC 12 Alfred St, Suite 200, Woburn, MA 01801-1972 Ph: (781) 646-0500 |
Karen A Chesley, RNCS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 500 W Cummings Park Ste 4500, Woburn, MA 01801 Phone: 781-224-3606 Fax: 339-999-2182 |
Deborah Keohan, RN CS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 500 W Cummings Park, Suite 3900, Woburn, MA 01801 Phone: 781-871-6550 |