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NPI Code Detail

MEDICARE: LEAH REALI FNP

MEDICARE:   LEAH  REALI  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner222314AZ

General Provider Information

NPI Number : 1699620062
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH REALI FNP
Provider Business Mailing Address
First Line : 3131 W DURANGO ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-6217
Country : US
Telephone Number : 602-506-4280
Fax Number :
Provider Business Practice Location Address
First Line : 3131 W DURANGO ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-6217
Country : US
Telephone Number : 602-506-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ LEAH REALI FNP” Practice Location

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