Wispe, Lisa M

Wispe, Lisa M is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Wispe, Lisa M can be contacted via phone (520) 694-8888.

Contact Information

Primary practice address
1501 N Campbell Ave Tucson AZ 85724-0001
Phone: (520) 694-8888
Fax: (520) 694-0633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN107792 Arizona

Profile Details

NPI number 1417022997
LBN Legal business name Wispe, Lisa M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1417022997 NPPES
Arizona MEDICAID 476615

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