LISA ANN FEDDERSEN R.N. NPI 1396951901

NPI Information

  • NPI: 1396951901
  • Provider Name: LISA ANN FEDDERSEN, R.N.
  • Classification: Registered Nurse - 163WA2000X
  • Specialization: Administrator
  • Entity Type: Individual
  • Address: 1450 S DOBSON RD STE B324
    MESA, AZ
    ZIP 85202
  • Phone: (480) 889-1573

Map and Directions

Get Directions

NPI Details

Lisa Ann Feddersen, R.N. is an administrator registered nurse in Mesa, AZ. Lisa Ann Feddersen, R.N. NPI is 1396951901. 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:

1450 S DOBSON RD STE B324
MESA, AZ
ZIP 85202-712
Phone: (480) 889-1573
Fax: (480) 889-1574

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/8/2007.

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
1163WA2000XRegistered NurseAdministratorRN133209ARIZONAYes

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: 11/21/2025

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.