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1639894793
LISA ENDANATTU
NUTLEY, NJ
NPI
1639894793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 350529)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
LISA ENDANATTU FNP-BC
88 PARK AVE STE 2A
NUTLEY, NJ 07110-3500
Phone number: 973-571-2121
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Mailing Address
LISA ENDANATTU FNP-BC
9 E PALISADES AVE
NANUET, NY 10954-3345
Phone number: 845-709-1490
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