Provider Demographics
NPI:1922184332
Name:SIMS, LISA FRANCES (RNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:FRANCES
Last Name:SIMS
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13348
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85002-3348
Mailing Address - Country:US
Mailing Address - Phone:602-416-7600
Mailing Address - Fax:602-416-7700
Practice Address - Street 1:903 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1906
Practice Address - Country:US
Practice Address - Phone:602-416-7600
Practice Address - Fax:602-416-7700
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN092768163W00000X
AZAP-2885363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ987787Medicaid
AZ987787Medicaid
AZZ140637Medicare PIN
AZZ145276Medicare PIN