Individual
CYNTHIA L LEGRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
500 W THOMAS RD, SUITE 200, PHOENIX, AZ 85013-4224
(602) 200-9159
(602) 200-9949
Mailing address
500 W THOMAS RD STE 220, PHOENIX, AZ 85013-4215
(602) 200-9159
(602) 200-9949
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN 081310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358730
—
AZ
Enumeration date
02/10/2006
Last updated
09/20/2013
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