MEDICARE: PROF. LEIGH SMALL PHD, RN, CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	AP2044	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP2044	OTHER	AZ	ADVANCED PRACTICE NP

General Provider Information

NPI Number	:	1154517662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. LEIGH SMALL PHD, RN, CPNP-PC

Provider Business Mailing Address
First Line	:	500 N 3RD ST
Second Line	:	MAIL CODE 3020
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2135
Country	:	US
Telephone Number	:	602-496-0910
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N 3RD ST
Second Line	:	MAIL CODE 3020
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2135
Country	:	US
Telephone Number	:	602-496-0910
Fax Number	:

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

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/18/2007

Similar Medicare Providers

1700715885 — DEBRA ANN HAGLER RN, APRN
Practice Location Address:

500 N 3RD ST
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-0802
Practice Fax:

1164426417 — DR. DENISE GIANNASCOLI LINK NP
Practice Location Address:

500 N 3RD ST , 482A
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-0893
Practice Fax:

1104854694 — PAMELA LUSK NP
Practice Location Address:

500 N 3RD ST # MC2104 , NP HEALTHCARE- DOWNTOWN PHOENIX CAMPUS
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-0721
Practice Fax: 602-496-0675

1144387978 — ARIZONA STATE UNIVERSITY
Practice Location Address:

500 N 3RD ST , SUITE 155
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-0721
Practice Fax: 602-496-0675

1588702153 — CR MACCHI PHD
Practice Location Address:

500 N. 3RD STREET MAIL CODE 3320 , DOCTOR OF BEHAVIORAL HEALTH, ARIZONA STATE UNIVERSITY
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-1355
Practice Fax: 602-496-1597

1841480548 — MS. RITA T. WERMERS N.P.
Practice Location Address:

500 N 3RD ST , SUITE 155
PHOENIX, AZ
85004-2135

Practice Phone: 602-496-0721
Practice Fax: 602-496-0675

Directions to “ PROF. LEIGH SMALL PHD, RN, CPNP-PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.