Individual
LISA MARIE PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 E THOMAS RD # A-104, PHOENIX, AZ 85016-7646
(602) 845-4445
Mailing address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 589-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
313055
AZ
Other
Enumeration date
07/22/2024
Last updated
05/20/2025
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