Mrs Lisa Marie Van Brunt, CPNP - Nurse Practitioner in New York, NY

Mrs Lisa Marie Van Brunt, CPNP is a Nurse Practitioner - Pediatrics based in New York, New York. Mrs Lisa Marie Van Brunt is licensed to practice in New York (license number F381121) and her current practice location is 161 Fort Washington Ave, Ip7, New York, New York. She can be reached at her office (for appointments etc.) via phone at (212) 305-9770.

NPI number for Mrs Lisa Marie Van Brunt is 1023232451 and her current mailing address is 161 Fort Washington Avenue, Building Ip7, Ny, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023232451.

Contact Information

Mrs Lisa Marie Van Brunt, CPNP
161 Fort Washington Ave, Ip7,
New York, NY 10032-3729
(212) 305-9770
(212) 342-5220

Map and Direction




Provider's Profile

Full NameMrs Lisa Marie Van Brunt
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location161 Fort Washington Ave, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023232451
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Van Brunt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023232451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics F381121 (New York)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. Mrs Lisa Marie Van Brunt 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 AddressPractice Location Address
Mrs Lisa Marie Van Brunt, CPNP
161 Fort Washington Avenue, Building Ip7,
Ny, NY 10032

Ph: () -
Mrs Lisa Marie Van Brunt, CPNP
161 Fort Washington Ave, Ip7,
New York, NY 10032-3729

Ph: (212) 305-9770

Reviews and Comments


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