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Individual

KETURAH LEGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
2120 CENTERPOINTE WEST DR, PRESCOTT, AZ 86301-8487
(928) 778-4581
(928) 776-1872
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306601
AZ
363L00000X
Nurse Practitioner
95005555
CA
363LP0200X
Pediatric Nurse Practitioner
NP95005555
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210438
AZ
Enumeration date
09/20/2017
Last updated
06/17/2025
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