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Individual

BONNIE LENYARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC

Contact information

Practice address
8433 N BLACK CANYON HWY STE 100-18, PHOENIX, AZ 85021-4873
(602) 228-0045
(602) 560-8336
Mailing address
8433 N BLACK CANYON HWY STE 100-18, PHOENIX, AZ 85021-4873
(602) 228-0045
(602) 560-8336

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
TAP5663
AZ
363LF0000X
Family Nurse Practitioner
TAP5663
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TAP5663
AZ

Other

Enumeration date
06/20/2014
Last updated
01/17/2025
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