Individual
LEO EASLEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
5840 N LA CHOLLA BLVD, TUCSON, AZ 85741-3537
(520) 498-3900
(520) 544-7542
Mailing address
1477 W COMMERCE CT, TUCSON, AZ 85746-6016
(520) 498-3900
(520) 544-7542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R727598
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10544
AZ
Other
Enumeration date
11/20/2013
Last updated
03/12/2024
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