Individual
LISA NICOLE CHICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP, PMHNP
Contact information
Practice address
1642 S PRIEST DR, TEMPE, AZ 85281-6204
(631) 428-4999
Mailing address
1642 S PRIEST DR, TEMPE, AZ 85281-6204
(631) 428-4999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689339
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
230421
AZ
Other
Enumeration date
09/04/2014
Last updated
08/26/2020
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