Individual
LISETTE AMEZCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10815 W MCDOWELL RD STE 304, AVONDALE, AZ 85392-5016
(623) 433-0155
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
303781
AZ
Other
Enumeration date
02/12/2024
Last updated
04/22/2025
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