Breiterman, Lisa

Breiterman, Lisa is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 230 , Phoenix AZ 85013. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Breiterman, Lisa can be contacted via phone (602) 406-9999.

Contact Information

Primary practice address
500 W Thomas Rd Ste 230 Phoenix AZ 85013
Phone: (602) 406-9999
Fax: (602) 406-8099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 094553 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4605 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP4605 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP11187 Arizona

Profile Details

NPI number 1053670968
LBN Legal business name Breiterman, Lisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Aug 8th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053670968 NPPES
Arizona MEDICAID 733126

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