Lisa Joan Duffy, CRNP is a
Nurse Practitioner - Family based in Edwardsville, Pennsylvania. Lisa Joan Duffy is licensed to practice in Pennsylvania (license number SP006462B) and her current practice location is
75 South Wyoming Avenue Suite 2, Edwardsville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 824-2800.
NPI number for Lisa Joan Duffy is 1508086398 and her current mailing address is 75 South Wyoming Avenue Suite 2, Edwardsville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508086398.
Provider's Profile
Full Name | Lisa Joan Duffy |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 75 South Wyoming Avenue Suite 2, Edwardsville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508086398
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 03/30/2012
Medical Identifiers
Medical identifiers for Lisa Joan Duffy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508086398 | NPI | - | NPPES |
102377793 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP006462B (Pennsylvania) | Primary |
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. Lisa Joan Duffy 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 |
Lisa Joan Duffy, CRNP 75 South Wyoming Avenue Suite 2, Edwardsville, PA 18704 Ph: (570) 824-2800 | Lisa Joan Duffy, CRNP 75 South Wyoming Avenue Suite 2, Edwardsville, PA 18704 Ph: (570) 824-2800 |
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