D'Alessandro-Betancourt, Lisa

D'Alessandro-Betancourt, Lisa is an individual health care provider with primary practice located at 11361 N 99Th Ave Ste 200 , Peoria AZ 85345-5470. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. D'Alessandro-Betancourt, Lisa can be contacted via phone (602) 636-1212.

Contact Information

Primary practice address
11361 N 99Th Ave Ste 200 Peoria AZ 85345-5470
Phone: (602) 636-1212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3012 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN086946 Arizona

Profile Details

NPI number 1730251034
LBN Legal business name D'Alessandro-Betancourt, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jan 29th, 2020 - 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 1730251034 NPPES
Arizona MEDICAID 897960

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