Individual provider · Type 1 NPI
Lisa Marie Hairston, APRN, CRNP, FNP-BC
Family Nurse Practitioner · Phoenix, AZ
NPI number
1912439381
Active
Practice location
18444 N 25th Ave # 18
Phoenix, AZ 85023-1261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017383 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | F1216319 (AZ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1912439381
Lisa Marie Hairston, APRN, CRNP, FNP-BC's National Provider Identifier is 1912439381, issued on Apr 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 29, 2025.