| Doctor Name: | LISA HUSSEY |
| NPI Number: | 1093914053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDE |
| License Number: | RN059199 |
| Business Practice Address: | 483 W. Seed Farm Rd Sacaton, AZ - 85247 |
| Business Phone Number: | 6025281340 |
| Business Fax Number: | 6025281296 |
| Mailing Address: | P.o. Box 115, Gila River Health Care Corporation Credentialing SACATON |
| State: | AZ |
| Postal Code: | 852470115 |
| Phone Number: | 6025281340 |
| Fax Number: | 6025281296 |
| NPI Enumeration Date: | 07/11/2007 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN059199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |