Individual
LISA GERACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3877 N 7TH ST STE 400, PHOENIX, AZ 85014-5061
(602) 280-9629
(602) 280-9644
Mailing address
3877 N 7TH ST STE 400, PHOENIX, AZ 85014-5061
(602) 280-9629
(602) 280-9644
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP1739
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN087146
AZ
Other
Enumeration date
04/08/2009
Last updated
04/07/2016
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