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NPI Code Detail

MEDICARE: SUSAN M LEBOUEF FNP-BC

MEDICARE: SUSAN M LEBOUEF FNP-BC
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
1163W00000XRegistered NurseRN118990AZ
2363LF0000XFamily Nurse PractitionerAP11382AZ

General Provider Information

NPI Number : 1386046167
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M LEBOUEF FNP-BC
Provider Business Mailing Address
First Line : 2601 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85730-1525
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 6390 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-3517
Country : US
Telephone Number : 520-733-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2014
Last Update Date : 02/25/2026

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Directions to “ SUSAN M LEBOUEF FNP-BC” Practice Location

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