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Individual

LISA A STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3015 HWAY 95 STE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038
Mailing address
3015 HWAY 95 STE 105, BULLHEAD CITY, AZ 86442-4334
(928) 763-2001
(928) 763-2038

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7449
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004593
AZ
01
8921242
CIGNA
AZ
01
P02470069
RR MEDICARE
AZ
Enumeration date
12/01/2014
Last updated
10/22/2025
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