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NPI Code Detail

MEDICARE: ADVANTAGE ADHD & PSYCHIATRY SERVICES

MEDICARE: ADVANTAGE ADHD & PSYCHIATRY SERVICES
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1447943683
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE ADHD & PSYCHIATRY SERVICES
Provider Business Mailing Address
First Line : 3271 E QUEEN CREEK RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-550-3194
Fax Number :
Provider Business Practice Location Address
First Line : 3271 E QUEEN CREEK RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-550-3194
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIC NURSE PRACTITIONER
Name : MRS. AMBER VALERIE LEONHARDT
Credential : PMHNP
Telephone Number : 480-310-2924
Provider Enumeration Date : 06/01/2023
Last Update Date : 06/01/2023

Similar Medicare Providers

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1073142386 — MRS. AMBER VALERIE LEONHARDT PMHNP-BC
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