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Individual

LISA STAPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-FNP-BC

Contact information

Practice address
4742 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5440
(866) 389-2727
Mailing address
4742 E. INDIAN SCHOOL RD., PHOENIX, AZ 85018-1016
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9829
AZ

Other

Enumeration date
02/01/2017
Last updated
08/20/2021
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