Individual provider · Type 1 NPI
Pamela Lusk, NP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1104854694
Active
Practice location
500 N 3rd St # MC2104, Np Healthcare- Downtown Phoenix Campus
Phoenix, AZ 85004-2135
Fax (602) 496-0675
Mailing address
718 Solano Dr
Prescott, AZ 86301-1520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN054820 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP1313 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104854694
Pamela Lusk, NP's National Provider Identifier is 1104854694, issued on Jun 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 16, 2021.