Individual
LESLIE M RACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10705 W PEORIA AVE, SUN CITY, AZ 85351-4061
(623) 259-6749
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(773) 352-1517
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN087460
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574990
—
AZ
Enumeration date
08/20/2010
Last updated
03/29/2024
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