Individual
MRS. JACQUELINE LEA AGENBROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 N 12TH ST, SUITE 407, PHOENIX, AZ 85006-2848
(602) 239-6762
(602) 239-5112
Mailing address
12895 W PASADENA AVE, LITCHFIELD PARK, AZ 85340
(623) 935-2373
(623) 932-4558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP290
AZ
363L00000X
Nurse Practitioner
RN097748
AZ
Other
Enumeration date
02/03/2006
Last updated
06/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us