LISA WYDRA
Nurse Practitioner - Family
Active
Individual
NPI: 1780916916
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 26NR09130100 (NJ) |
Frequently Asked Questions
NPI 1780916916 is the National Provider Identifier for LISA WYDRA, a Nurse Practitioner - Family provider located in Hazlet, NJ. This NPI was enumerated on February 15, 2010.
LISA WYDRA practices at 3391 HIGHWAY 35, Hazlet, NJ 07730.
Quick Facts
- NPI
- 1780916916
- Type
- Individual
- Enumerated
- Feb 15, 2010
- Last Updated
- Jan 24, 2019
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