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NPI Code Detail

MEDICARE: MRS. GREER LEADBEATER NP

MEDICARE: MRS. GREER LEADBEATER NP
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 NurseRN062402AZ
2363LF0000XFamily Nurse PractitionerAP2500AZ

General Provider Information

NPI Number : 1477589711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GREER LEADBEATER NP
Provider Business Mailing Address
First Line : 4430 E RAY RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-6092
Country : US
Telephone Number : 480-466-6596
Fax Number :
Provider Business Practice Location Address
First Line : 4430 E RAY RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-6092
Country : US
Telephone Number : 480-466-6596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 03/07/2023

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