Individual
HEATHER LYNN CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3210 E FORT LOWELL RD STE 103, TUCSON, AZ 85716-1682
(520) 285-8580
(520) 210-9386
Mailing address
1718 E SPEEDWAY BLVD # 117, TUCSON, AZ 85719-4515
(520) 285-8580
(520) 210-9386
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP5265
AZ
363LF0000X
Family Nurse Practitioner
AP5265
AZ
363LG0600X
Gerontology Nurse Practitioner
AP5265
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5265
AZ
Other
Enumeration date
09/12/2011
Last updated
03/13/2024
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