Lisa Marie Refuerzo Sim, RN, MSN, CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

272589 Issued in AZ

Practice address

6739 W Cactus Rd
Peoria, AZ 85381-5311

Phone

(833) 242-0100

Fax

(623) 889-0814

NPI assigned

Dec 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lisa Marie Balderas Refuerzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1467635292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100",
            "fax_number": "623-889-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100",
            "fax_number": "623-889-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "LISA MARIE",
        "middle_name": "REFUERZO",
        "credential": "RN, MSN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-15",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AZ",
            "license": "272589",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "721135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA MARIE",
            "last_name": "REFUERZO",
            "middle_name": "BALDERAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Crysta Silas, NP
• Deborah L Simboli
• Amina Simmons, PHD
• Paulina Simon, AGPCNP
• Simone Gabriel Enterprises
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• Adult Health Clinical Nurse Specialist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Adult Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.