Individual
LISA BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
21300 N. JOHN WAYNE PKWY, #112, MARICOPA, AZ 85139
(520) 568-9500
(520) 568-9533
Mailing address
21300 N. JOHN WAYNE PKWY, #112, MARICOPA, AZ 85139
(520) 568-9500
(520) 568-9533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8214
AZ
Other
Enumeration date
10/12/2015
Last updated
09/29/2016
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