Individual
LISA KAY ROBERTSON
Active
Individual
LISA KAY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
AP10054
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
AP10054
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276234
—
AZ
Enumeration date
05/01/2017
Last updated
10/10/2022
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