Individual
MS. LISA ANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10654 E ANANEA AVE, MESA, AZ 85208-8738
(480) 218-5797
Mailing address
10654 E ANANEA AVE, MESA, AZ 85208-8738
(480) 218-5797
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
RN117825
AZ
163WX0002X
High-Risk Obstetric Registered Nurse
RN117825
AZ
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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