Individual
LISA N GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
610 N ALMA SCHOOL RD, CHANDLER, AZ 85224-3600
(602) 277-7526
(602) 604-6582
Mailing address
4751 N 15TH ST, PHOENIX, AZ 85014-3707
(602) 263-4232
(602) 604-6582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8034
AZ
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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