Breiterman, Lisa Marie
Breiterman, Lisa Marie is an individual health care provider with primary practice located at 9929 N 95Th St Ste 101 , Scottsdale AZ 85258-4592. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Breiterman, Lisa Marie can be contacted via phone (928) 375-0928.Contact Information
Primary practice address
9929 N 95Th St Ste 101
Scottsdale AZ 85258-4592
Phone: (928) 375-0928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP4605 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP11187 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP4605 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CP003354 | South Dakota |
| Nursing Service Providers / Registered Nurse | 163W00000X | 094553 | Arizona |
Profile Details
| NPI number | 1053670968 |
|---|---|
| LBN Legal business name | Breiterman, Lisa Marie |
| Credentials | PMHNP-BC, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2012 |
| Last updated | Mar 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053670968 | NPPES |
| Arizona | MEDICAID | 733126 |
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