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Contact Information

LISA SHEPARD, CRNFA
609 S CLEARVIEW AVE
MESA, AZ85208-1922
 Phone: 480-201-6754
 Fax: 480-396-5130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for LISA SHEPARD · (Female)

NPI Number 1427134212
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 10/27/2006
Last updated 01/20/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # RN046743
  • Other 2224040 AETNA
  • Other 124186 HEALTHNET
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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