Lisa Marie Canas, APRN
Nurse Practitioner, Pediatrics in West Hartford, CT. Individual provider (NPI-1).
NPI number1467780825
StatusActive
Last updated in NPPESNov 24, 2009
Details
- NPI
- 1467780825
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Canas
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2009
- Last updated
- Nov 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 002387 | CT | Yes |
Practice location
200 Bloomfield AvenueProhealth Physicians Student Health Services
West Hartford, CT 06117
Phone 860-768-6601 · Fax 860-768-5140
Mailing address
200 Bloomfield AvenueProhealth Physicians Student Health Services
West Hartford, CT 06117
Phone 860-768-6601 · Fax 860-768-5140
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