Lisa Stadum, NP

NPI #1063577161 in Prescott, Arizona

Provider Information

NPI Number
1063577161
Entity Type
Individual
Name
Lisa Stadum, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Dec 27, 2006
Last Updated
Aug 17, 2011

Practice Location

Address
2100 CENTERPOINTE WEST DR
State
Arizona
ZIP Code
86301-8487
Phone
(928) 717-0788

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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