MEDICARE: LEILA DARBOUZE

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	163WN0800X	Neuroscience Registered Nurse	281227	AZ

General Provider Information

NPI Number	:	1235915513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEILA DARBOUZE

Provider Business Mailing Address
First Line	:	1109 E ASCENT ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-0037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 E ASCENT ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-0037
Country	:	US
Telephone Number	:	520-661-8768
Fax Number	:

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

Provider Enumeration Date	:	09/04/2023
Last Update Date	:	09/04/2023

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Directions to “ LEILA DARBOUZE ” Practice Location

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