Provider Demographics
NPI:1760295042
Name:LAZARO, EDITH CLAIR (MSN RN)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:CLAIR
Last Name:LAZARO
Suffix:
Gender:F
Credentials:MSN RN
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:CLAIR
Other - Last Name:STANFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN RN
Mailing Address - Street 1:3006 W 11TH LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-3347
Mailing Address - Country:US
Mailing Address - Phone:928-503-6985
Mailing Address - Fax:
Practice Address - Street 1:3180 E 40TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-7772
Practice Address - Country:US
Practice Address - Phone:928-257-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN178081163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult