Individual
LISA MARIE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNP, FNP-BC
Contact information
Practice address
18444 N 25TH AVE # 18, PHOENIX, AZ 85023-1261
(562) 684-7575
Mailing address
18444 N 25TH AVE # 18, PHOENIX, AZ 85023-1261
(412) 901-5758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1216319
AZ
363LF0000X
Family Nurse Practitioner
SP017383
PA
Other
Enumeration date
04/03/2017
Last updated
07/29/2025
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