Individual
LAUREN BISSWURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3648 W ANTHEM WAY STE A100, ANTHEM, AZ 85086-7002
(623) 434-6444
(623) 434-6448
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(623) 434-6102
(623) 434-6107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10669
AZ
Other
Enumeration date
10/08/2017
Last updated
03/16/2018
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