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Individual

LISA ASHWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
5316 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85254-4717
(480) 882-7410
Mailing address
5316 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85254-4717
(804) 882-7420
(480) 951-5220

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
243402
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
243402
AZ

Other

Enumeration date
09/29/2022
Last updated
12/09/2024
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