Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa K. Harrison, RN, CCRN, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1790105567

Lisa K. Harrison, RN, CCRN, AGACNP-BC is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2013, 13 years ago. Practices with Northbay Physicians Surgery Center, LLC, a 337-clinician group and accepts Medicare assignment. Licensed in Arizona and Virginia.

Years since qualifying
13
Licensed in
AZ, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone: (866) 949-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 234142 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024171479 (VA)

Record details

NPI number1790105567
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CCRN , AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 21, 2014
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northbay Physicians Surgery Center, Llc — 337 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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