LISE MIRLINE DOMMERCANT APN
NPI 1720933716
Nurse Practitioner - Primary Care in Union, NJ
Active since March 04, 2026
About Lise Mirline Dommercant Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISE MIRLINE DOMMERCANT APN (NPI 1720933716) is an individual primary care provider in Union, New Jersey, licensed in New Jersey (26BJ15533800) and active in the NPI registry since March 2026.
NPPES Registry Identity
NPI1720933716
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLISE MIRLINE DOMMERCANTCredential: APN
Location Address1553 DAY TERUnion, NJ 07083-4719
Mailing Address1553 Day TerUnion, NJ 07083-4719 · (908) 209-7910
Phone(908) 209-7910
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1720933716 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26BJ15533800
1553 DAY TER, Union, NJ 07083
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720933716, enumerated as an "individual" on March 04, 2026.
The provider is located at 1553 DAY TER UNION, NJ 07083 and the phone number is (908) 209-7910.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
