Individual
LISA KAY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
Mailing address
7476 N CAMINO DE LA TIERRA, TUCSON, AZ 85741-2123
(520) 429-7166
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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