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

Mrs. Lisa Marie Land, NP-C, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1083078349

Mrs. Lisa Marie Land, NP-C, ACNPC-AG is a Nurse Practitioner in Kingman, Arizona. Qualified in 2015, 11 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1739 E Beverly Ave Ste 203
Kingman, AZ 86409-3593
Phone: (928) 757-3133
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 — (480) 301-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8621 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP8621 (AZ)

Record details

NPI number1083078349
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C , ACNPC-AG
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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