Pierson, Lisa Carol

Pierson, Lisa Carol is an individual health care provider with primary practice located at 3003 N Central Ave , Phoenix AZ 85012-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Pierson, Lisa Carol can be contacted via phone (602) 462-1132.

Contact Information

Primary practice address
3003 N Central Ave Phoenix AZ 85012-2902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN098719 Arizona

Profile Details

NPI number 1659337897
LBN Legal business name Pierson, Lisa Carol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 28th, 2015 - about 9 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 1659337897 NPPES
Arizona MEDICAID 834566

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