LISA JOAN DUFFY CRNP
NPI 1508086398
Nurse Practitioner - Family in Edwardsville, PA

Active since April 26, 2007
75 SOUTH WYOMING AVENUE SUITE 2, EDWARDSVILLE, PA 18704(570) 824-2800(570) 718-1476 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Joan Duffy Crnp NPPES

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

LISA JOAN DUFFY CRNP (NPI 1508086398) is an individual family provider in Edwardsville, Pennsylvania, licensed in Pennsylvania (SP006462B) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1508086398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA JOAN DUFFYCredential: CRNP
Location Address75 SOUTH WYOMING AVENUE SUITE 2Edwardsville, PA 18704
Mailing Address75 South Wyoming Avenue Suite 2Edwardsville, PA 18704 · (570) 824-2800 · Fax (570) 718-1476
Fax(570) 718-1476
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 30, 2012
NPI 1508086398 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 PA · SP006462B
75 SOUTH WYOMING AVENUE SUITE 2, Edwardsville, PA 18704

Other Identifiers 2

Medicare PIN110884G6SPA
Medicaid102377793PA

Other Providers at the Same Location NPPES

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

Internal Medicine (Gastroenterology)
75 SOUTH WYOMING AVENUE SUITE 2
EDWARDSVILLE, PA 18704

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 Duffy's NPI number?

The NPI number for Lisa Duffy is 1508086398. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Lisa Duffy located?

Lisa Duffy practices at 75 South Wyoming Avenue Suite 2, Edwardsville, PA 18704. The listed phone number is (570) 824-2800.

What is Lisa Duffy'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 Duffy was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.