Individual
LISA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RNP, A-GNP-C
Contact information
Practice address
10815 W MCDOWELL RD STE 305, AVONDALE, AZ 85392-5016
(623) 433-0155
(623) 433-0185
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
284281
AZ
Other
Enumeration date
11/24/2022
Last updated
05/14/2025
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