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Individual

MELISSA JACLYN LESAAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
8675 S PRIEST DR STE 102, TEMPE, AZ 85284-1914
(480) 739-0007
Mailing address
8675 S PRIEST DR STE 102, TEMPE, AZ 85284-1914
(480) 739-0007

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP5684
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154308
AZ
05
235326
AZ
01
AP5684
AZ AP
AZ
Enumeration date
07/07/2014
Last updated
04/10/2023
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