Individual provider · Type 1 NPI

Lisa M. Grisham, NNP

Neonatal Nurse Practitioner · Tucson, AZ

NPI number 1063503795 Active

Practice location

1501 N Campbell Avenue
Tucson, AZ 85724

Fax (520) 626-5009

Mailing address

2701 E Elvira Rd
Tucson, AZ 85756-7214

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000XRN113958 (AZ)
Neonatal Nurse Practitioner Primary 363LN0000XAP2222 (AZ)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1063503795

Lisa M. Grisham, NNP's National Provider Identifier is 1063503795, issued on Sep 27, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Tucson, AZ. The record was last updated on May 22, 2013.