Boffa, Lisa Anne
Boffa, Lisa Anne is an individual health care provider with primary practice located at 715 S 1St St , Montrose CO 81401-3914. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Boffa, Lisa Anne can be contacted via phone (970) 249-0442.Contact Information
Primary practice address
715 S 1St St
Montrose CO 81401-3914
Phone: (970) 249-0442
Fax: (970) 249-8495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-990063 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN.0990063-NP | Colorado |
Profile Details
NPI number | 1942508635 |
---|---|
LBN Legal business name | Boffa, Lisa Anne |
Credentials | FNP, PMHNP, ND |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2011 |
Last updated | Dec 23rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942508635 | NPPES |
Colorado | MEDICAID | 57009571 |
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