Most Relevant Information
Provider Data
| NPI Number: | 1003213422 |
| Provider Name: | LISA A STANLEY APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP7449 |
Most Important Dates
| Enumeration Date: | 12/01/2014 |
| Last Updated: | 08/30/2024 |
Provider Practice Location
3641 HIGHWAY 95
BULLHEAD CITY
AZ
864428151
Practice Location Phone/Fax
| Phone: | 9287582373 |
| Fax: | 9287582166 |
Provider Mailing Location
3641 HIGHWAY 95
BULLHEAD CITY
AZ
864428151
Provider Mailing Phone/Fax
| Phone: | 9287582373 |
| Fax: | 9287582166 |