Individual
EDWARD STANLEY LEYBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 582-2955
(480) 582-3090
Mailing address
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206-4609
(480) 582-2955
(480) 582-3090
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
278353
AZ
Other
Enumeration date
08/02/2022
Last updated
08/16/2024
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