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NPI Code Detail

MEDICARE: KRISTINA MARIE LEONARD AGACNP - BC

MEDICARE:   KRISTINA MARIE LEONARD  AGACNP - 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
1363LA2100XAcute Care Nurse Practitioner218593AZ
2363L00000XNurse Practitioner218593AZ
3363LG0600XGerontology Nurse Practitioner218593AZ

General Provider Information

NPI Number : 1588132096
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA MARIE LEONARD AGACNP - BC
Provider Business Mailing Address
First Line : 2500 W UTOPIA RD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4172
Country : US
Telephone Number : 623-683-4462
Fax Number : 623-683-4963
Provider Business Practice Location Address
First Line : 10210 N 92ND ST STE 300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4525
Country : US
Telephone Number : 480-882-7750
Fax Number : 480-882-5838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2018
Last Update Date : 02/25/2026

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Directions to “ KRISTINA MARIE LEONARD AGACNP - BC” Practice Location

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