Individual
LEONARD JAMES ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
10566 N HIGHWAY 191, ELFRIDA, AZ 85610-9021
(520) 642-2222
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082662
—
AZ
Enumeration date
06/27/2015
Last updated
09/15/2023
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