Stanley, Lisa A

Stanley, Lisa A is an individual health care provider with primary practice located at 3641 Highway 95 , Bullhead City AZ 86442-8151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stanley, Lisa A can be contacted via phone (928) 758-2373.

Contact Information

Primary practice address
3641 Highway 95 Bullhead City AZ 86442-8151
Fax: (928) 758-2166
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7449 Arizona

Profile Details

NPI number 1003213422
LBN Legal business name Stanley, Lisa A
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2014
Last updated Jan 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003213422 NPPES
Arizona Other 8921242 CIGNA
Arizona MEDICAID 004593 CIGNA
Arizona Other P02470069 CIGNA

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