LISA KAY ROBERTSON MSN AGNP-C NPI 1003342734

NPI Information

NPI: 1003342734
Provider Name: LISA KAY ROBERTSON, MSN, AGNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
504 W 29TH ST
TUCSON, AZ
ZIP 85713
Phone: (520) 838-5600
Get Directions

Lisa Kay Robertson, MSN, AGNP-C is a gerontology nurse practitioner in Tucson, AZ with 31 years of experience. Lisa Kay Robertson, MSN, AGNP-C NPI is 1003342734. 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:

504 W 29TH ST
TUCSON, AZ
ZIP 85713-353
Phone: (520) 838-5600

The NPI 1003342734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 10/10/2022.

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	163WG0000X	Registered Nurse	General Practice	AP10054	ARIZONA	No
2	363LG0600X	Nurse Practitioner	Gerontology	AP10054	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	Other Provider Identifier Issuer
1	276234	MEDICAID	ARIZONA

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

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