MS. LISA M GRISHAM NNP NPI 1063503795

NPI Information

NPI: 1063503795
Provider Name: MS. LISA M GRISHAM, NNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1501 N CAMPBELL AVENUE
TUCSON, AZ
ZIP 85724
Phone: (520) 626-6627
Get Directions

MS. Lisa M Grisham, NNP is a neonatal nurse practitioner in Tucson, AZ. MS. Lisa M Grisham, NNP NPI is 1063503795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1501 N CAMPBELL AVENUE
TUCSON, AZ
ZIP 85724
Phone: (520) 626-6627
Fax: (520) 626-5009

The enumeration date for this NPI number is 9/27/2006 and was last updated on 5/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	RN113958	ARIZONA	No
2	363LN0000X	Nurse Practitioner	Neonatal	AP2222	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	207375	MEDICAID	ARIZONA
2	Q51719	MEDICARE UPIN
3	105390	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »