Individual
LEEANN RENE GROVEUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10860 E LADY BUG LN, PRESCOTT VALLEY, AZ 86315-4861
(951) 505-8218
Mailing address
10860 EAST LADYBUG PLACE, PRESCOTT VALLEY, AZ 86315-3307
(951) 505-8218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
274014
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/17/2022
Last updated
04/21/2022
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