Individual
LISA CASAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16515 S 40TH ST STE 143, PHOENIX, AZ 85048-0560
(480) 712-8319
(480) 712-1305
Mailing address
8415 N DEXTER AVE, TAMPA, FL 33604-1301
(813) 458-3091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11014159
FL
Other
Enumeration date
07/14/2021
Last updated
02/26/2023
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