Individual provider · Type 1 NPI

Lisa Nicole Reinertson, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1346503117 Active

Practice location

755 E Mcdowell Rd
Phoenix, AZ 85006-2506

Mailing address

1639 W Weldon Ave
Phoenix, AZ 85015-5524

Other practice locations

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 · (602) 344-5011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5145 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1346503117

Lisa Nicole Reinertson, PA-C's National Provider Identifier is 1346503117, issued on Jun 18, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 16, 2022.