Blasko, Lisa Marie

Blasko, Lisa Marie is an individual health care provider with primary practice located at 126 E Main St , Payson AZ 85541-5488. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blasko, Lisa Marie can be contacted via phone (928) 468-8610.

Contact Information

Primary practice address
126 E Main St Payson AZ 85541-5488
Phone: (928) 468-8610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN152442 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TAP5705 Arizona

Profile Details

NPI number 1245646629
LBN Legal business name Blasko, Lisa Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Mar 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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