LISA M DERITA


Address: 337 Stevenson Ave, Akron, OH 44312-2625
Phone: 3303294894

LISA M DERITA (NPI# 1114546777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114546777
Entity Type Individual
Full Name LISA M DERITA
Practice Address 337 Stevenson Ave
Akron
OH 44312-2625
Practice Telephone 3303294894
Mailing Telephone 3303294894
Enumeration Date 2020-04-14
Last Update Date 2020-04-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN.CNP.024835 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 337 STEVENSON AVE
City AKRON
State OH
Zip Code 44312-2625

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831708783 Shannon Marie Daley Nurse Practitioner 3215 Foxford Ct, Akron, OH 44312-4654 2020-07-27
1457979841 Rebecca Ison Nurse Practitioner 1614 Thornapple Ave, Akron, OH 44301-2559 2020-07-11
1649896598 John Bartlett Nurse Practitioner 941 Princeton St, Akron, OH 44311-1922 2020-06-17
1790349819 Christine Lynn Cannell Nurse Practitioner 3593 S Arlington Road, Suite D, Akron, OH 44312 2019-04-24
1316403876 Michael Conrad Madej Nurse Practitioner 4125 Medina Rd Ste 200b, Akron, OH 44333-4514 2019-02-20
1366910085 Rebecca Anne Lewis Nurse Practitioner 880 Mull Ave Ste 200, Akron, OH 44313-7522 2018-11-12
1548737430 Sarah Ciuni Nurse Practitioner 244 W Exchange St # 440, Akron, OH 44302 2018-10-29
1760958672 Dana Goodyear Nurse Practitioner 570 White Pond Dr Ste 200, Akron, OH 44320-4208 2018-10-17
1619462074 Lydia Yatras Nurse Practitioner Canal Physician Group, 1 Akron General Ave, Akron, OH 44307 2018-06-28
1710361563 Lisa Marie Metcalf Nurse Practitioner 1739 Wiltshire Rd, Akron, OH 44313-6151 2015-07-10
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Competitor

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City AKRON
Zip Code 44312

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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