Individual
MS. YOHANAH B. LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
410412
NY
176B00000X
Midwife
Primary
F000728-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
05
—
695827
—
AZ
Enumeration date
04/06/2007
Last updated
03/17/2011
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