Individual
PAMELA LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 N 3RD ST # MC2104, NP HEALTHCARE- DOWNTOWN PHOENIX CAMPUS, PHOENIX, AZ 85004-2135
(602) 496-0721
(602) 496-0675
Mailing address
718 SOLANO DR, PRESCOTT, AZ 86301-1520
(928) 830-7530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1313
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN054820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953358
—
AZ
Enumeration date
06/30/2006
Last updated
03/16/2021
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