Individual
LISA MAE KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
4100 S LINDSAY RD BLDG 6, GILBERT, AZ 85297-1506
(602) 834-0505
(520) 775-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9800
AZ
Other
Enumeration date
01/13/2017
Last updated
02/11/2026
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