MEDICARE: DAVID LEON FNP-C

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
1	363LF0000X	Family Nurse Practitioner	224340	AZ

General Provider Information

NPI Number	:	1922968676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LEON FNP-C

Provider Business Mailing Address
First Line	:	10590 E SHALE DR
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85365-7191
Country	:	US
Telephone Number	:	928-271-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	7125 E CESAR CHAVEZ BLVD
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85349
Country	:	US
Telephone Number	:	928-627-8871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	05/21/2026

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Directions to “ DAVID LEON FNP-C” Practice Location

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