Lisa Renae Bigelow

NPI #1700495207 in Eagar, Arizona

Provider Information

NPI Number
1700495207
Entity Type
Individual
Name
Lisa Renae Bigelow
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 30, 2020
Last Updated
Jul 30, 2020

Practice Location

Address
1024 SPANISH TRAIL, P132
City
Eagar
State
Arizona
ZIP Code
85925-8592
Phone
(928) 245-0012

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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