Individual
MS. LISA A MUSACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 543-2424
(915) 533-2568
Mailing address
4625 E DESERT COVE AVE, PHOENIX, AZ 85028-3028
(910) 352-6613
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
039444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176814501
—
TX
05
—
71857800
—
NM
Enumeration date
07/06/2006
Last updated
12/12/2019
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