Stadum, Lisa
Stadum, Lisa is an sole proprietor health care provider with primary practice located at 2100 Centerpointe West Dr , Prescott AZ 86301-8487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stadum, Lisa can be contacted via phone (928) 717-0788.Contact Information
Primary practice address
2100 Centerpointe West Dr
Prescott AZ 86301-8487
Phone: (928) 717-0788
Fax: (928) 717-0748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP2577 | Arizona |
Profile Details
| NPI number | 1063577161 |
|---|---|
| LBN Legal business name | Stadum, Lisa |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Aug 17th, 2011 - about 13 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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