Individual
LISA HUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85247
(602) 528-1340
(602) 528-1296
Mailing address
P.O. BOX 115, GILA RIVER HEALTH CARE CORPORATION CREDENTIALING, SACATON, AZ 85247-0115
(602) 528-1340
(602) 528-1296
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN059199
AZ
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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