Individual
PROF. LEIGH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CPNP-PC
Contact information
Practice address
500 N 3RD ST, MAIL CODE 3020, PHOENIX, AZ 85004-2135
(602) 496-0910
Mailing address
500 N 3RD ST, MAIL CODE 3020, PHOENIX, AZ 85004-2135
(602) 496-0910
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2044
ADVANCED PRACTICE NP
AZ
Enumeration date
09/18/2007
Last updated
09/18/2007
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