Individual
MRS. LISA MARIE MRZENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
290 N WILLOW ST, WASILLA, AK 99654-7042
(435) 703-9647
Mailing address
PO BOX 876023, WASILLA, AK 99687-6023
(907) 203-1590
(435) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130269
AK
163W00000X
Registered Nurse
6593775-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6593775-3102
UT
Other
Enumeration date
09/28/2009
Last updated
10/17/2024
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