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Ms. Lisa M Grisham, NNP
Neonatal Nurse Practitioner in Tucson, Arizona
NPI 1063503795

Lisa M Grisham is a Neonatal Nurse Practitioner based in Tucson, AZ and is specialized in Neonatal. Lisa M Grisham practices in Tucson, AZ and has the professional credentials of NNP. The NPI Number for Lisa M Grisham is 1063503795 and holds a License No. RN113958 (Arizona).

The current practice location address for Lisa M Grisham is 1501 N Campbell Avenue, Tucson, AZ and can be reached out via phone at 520-626-6627 and via fax at 520-626-5009.

Location: 1501 N Campbell Avenue, Tucson, AZ, 85756-7214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063503795
Provider Name
Lisa M Grisham
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
1501 N Campbell Avenue, Tucson, AZ, 85756-7214
Phone Number
520-626-6627
Fax Number
520-626-5009
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207375 05 AZ
institution
Provider Business Practice Location Address Details
Address
1501 N Campbell Avenue
City
Tucson
State
Arizona
Zip
85724
Phone Number
520-626-6627
Fax Number
520-626-5009
person
Provider Business Mailing Address Details
Address
1501 N Campbell Avenue
City
Tucson
State
Arizona
Zip
85724
Phone Number
520-626-6627
Fax Number
520-626-5009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
RN113958 (Arizona)
Definition
Definition to come...
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