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
Phone: (928) 758-2373
Fax: (928) 758-2166
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003213422 | NPPES |
Arizona | Other | 8921242 | CIGNA |
Arizona | MEDICAID | 004593 | CIGNA |
Arizona | Other | P02470069 | CIGNA |
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