Individual
LISA ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
11649 N PORT WASHINGTON RD STE 221, MEQUON, WI 53092-3461
(262) 912-1922
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 912-1922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8150-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8150
WI
Other
Enumeration date
01/04/2019
Last updated
10/02/2025
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