LISA MICHELE MALBOUF FNP-C
NPI 1063882926
Nurse Practitioner - Family in Rochester, NY

Active since October 04, 2015
1000 SOUTH AVE, ROCHESTER, NY 14620(585) 755-7720 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2023, Oct 4, 2015 (2 updates tracked since 2015).

About Lisa Michele Malbouf Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MICHELE MALBOUF FNP-C (NPI 1063882926) is an individual family provider in Rochester, New York, licensed in New York (339062) and active in the NPI registry since October 2015. She maintains a secondary practice location in Hamlin.

NPPES Registry Identity

NPI1063882926
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MICHELE MALBOUFCredential: FNP-C
Location Address1000 SOUTH AVERochester, NY 14620-2782
Mailing Address1000 South AveRochester, NY 14620-2782 · (585) 755-7720
Sole ProprietorNo
Enumeration DateOctober 4, 2015
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1063882926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 339062
1000 SOUTH AVE, Rochester, NY 14620

Secondary Practice Location 1

Location 128 Barringer DrHamlin, NY 14464-9303 · Phone (585) 755-7720

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Malbouf's NPI number?

The NPI number for Lisa Malbouf is 1063882926. It was assigned to this individual provider in the NPPES registry on October 4, 2015.

Where is Lisa Malbouf located?

Lisa Malbouf practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 755-7720.

What is Lisa Malbouf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Malbouf was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.