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Individual

MRS. CHRISTINE MACHELE LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
18433 N 19TH AVE, PHOENIX, AZ 85023-1359
(888) 698-6727
Mailing address
18275 N 59TH AVE # K162, GLENDALE, AZ 85308-1260
(602) 755-0800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
256066
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15128120
CAQH ID
AZ
Enumeration date
04/29/2021
Last updated
06/13/2024
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