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NPI Code Detail

MEDICARE: LISA ANN PARKER APNP

MEDICARE: LISA ANN PARKER APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner8150-33WI
2363L00000XNurse Practitioner8150-33WI
3363LP0808XPsychiatric/Mental Health Nurse Practitioner8150-33WI

General Provider Information

NPI Number : 1871066506
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN PARKER APNP
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 262-912-1922
Fax Number :
Provider Business Practice Location Address
First Line : 11649 N PORT WASHINGTON RD STE 221
Second Line :
City : MEQUON
State : WI
Zip : 53092-3461
Country : US
Telephone Number : 262-912-1922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 05/22/2026

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