Individual
MISS LISA M DIMENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
1501 N CAMPBELL AVE, 3341, TUCSON, AZ 85724-5073
(520) 626-6627
(520) 626-5009
Mailing address
1501 N CAMPBELL AVE, PO BOX 245073, TUCSON, AZ 85724-5073
(520) 626-6627
(520) 626-5009
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN105827
AZ
Other
Enumeration date
03/18/2009
Last updated
07/27/2010
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