LISA NICOLE REINERTSON PA-C NPI 1346503117

NPI Information

  • NPI: 1346503117
  • Provider Name: LISA NICOLE REINERTSON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 755 E MCDOWELL RD
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 521-3250

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NPI Details

Lisa Nicole Reinertson, PA-C is a surgical physician assistant in Phoenix, AZ with 13 years of experience. Lisa Nicole Reinertson, PA-C NPI is 1346503117. 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:

755 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-506
Phone: (602) 521-3250

The NPI 1346503117 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 6/18/2012 and was last updated on 4/16/2022.

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
1363AS0400XPhysician AssistantSurgical5145ARIZONAYes

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: 3/30/2025

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