Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Stadum, NP

Individual provider Family Nurse Practitioner · NPI 1063577161

Lisa Stadum, NP is a Family Nurse Practitioner in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2100 Centerpointe West Dr
Prescott, AZ 86301-8487
Phone: (928) 717-0788
Fax: (928) 717-0748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2577 (AZ)

Record details

NPI number1063577161
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 17, 2011
Mailing address2100 Centerpointe West Dr, Prescott, AZ 86301-8487

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