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NPI Code Detail

MEDICARE: LISA FRANCES SIMS RNP

MEDICARE:   LISA FRANCES SIMS  RNP
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
1163W00000XRegistered NurseRN092768AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP-2885AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922184332
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA FRANCES SIMS RNP
Provider Business Mailing Address
First Line : PO BOX 13348
Second Line :
City : PHOENIX
State : AZ
Zip : 85002-3348
Country : US
Telephone Number : 602-416-7600
Fax Number : 602-416-7700
Provider Business Practice Location Address
First Line : 903 N 2ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1906
Country : US
Telephone Number : 602-416-7600
Fax Number : 602-416-7700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 06/08/2011

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