Individual
LYSA MARIE BUSALACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
14520 W GRANITE VALLEY DR STE 210, SUN CITY WEST, AZ 85375-5855
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
294517
AZ
Other
Enumeration date
07/12/2023
Last updated
02/13/2024
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