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NPI Code Detail

MEDICARE: ADAM SCOTT LEON FNP

MEDICARE: ADAM SCOTT LEON 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
1363LF0000XFamily Nurse PractitionerRN180193AZ
2363L00000XNurse PractitionerAP10207AZ

General Provider Information

NPI Number : 1205361078
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM SCOTT LEON FNP
Provider Business Mailing Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-773-2266
Fax Number : 623-773-2267
Provider Business Practice Location Address
First Line : 6677 W THUNDERBIRD RD STE A124
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-3710
Country : US
Telephone Number : 623-773-2266
Fax Number : 623-773-2267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2017
Last Update Date : 06/08/2026

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