Doctor Name: | MS. LISA MARIE ANDERSEN KIRCHNER |
NPI Number: | 1033480884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN/NP 153162 |
Business Practice Address: | 725 North St Pittsfield, MA - 012014109 |
Business Phone Number: | 4134472114 |
Business Fax Number: | 4134457008 |
Mailing Address: | 835 Middlefield Rd, HINSDALE |
State: | MA |
Postal Code: | 012359358 |
Phone Number: | 4134472114 |
Fax Number: | 4134457008 |
NPI Enumeration Date: | 01/25/2012 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN/NP 153162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |