Provider Demographics
NPI:1245795491
Name:CURTAIN, LISA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:CURTAIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:51 PLEASANT ST # 858
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4904
Mailing Address - Country:US
Mailing Address - Phone:774-789-6604
Mailing Address - Fax:423-214-2240
Practice Address - Street 1:51 PLEASANT ST # 858
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4904
Practice Address - Country:US
Practice Address - Phone:774-789-6604
Practice Address - Fax:423-214-2240
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAMCS009080B363LP0808X
AZ257238363LP0808X
NC5011431363LP0808X
CT11672363LP0808X
MARN2372523363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health