Individual
MISS LESLIE ELLEN MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4510 E BANNER GATEWAY DR APT 3009, MESA, AZ 85206-4757
(810) 488-0925
Mailing address
4510 E BANNER GATEWAY DR APT 3009, MESA, AZ 85206-4757
(810) 488-0925
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN183238
AZ
363L00000X
Nurse Practitioner
Primary
229403
AZ
Other
Enumeration date
09/26/2018
Last updated
12/03/2019
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