Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lisa Petersen, NURSE

Individual provider Registered Nurse · NPI 1609141209

Mrs. Lisa Petersen, NURSE is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

191 Vermont Ave
Staten Island, NY 10305-1727
Phone: (718) 720-7961
Fax: (718) 720-7961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 571817-1 (NY)

Record details

NPI number1609141209
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSE
Sole proprietorYes
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012

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