Individual
MRS. LOLEITA LEANORA GREEN-REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 771-3122
(928) 771-3369
Mailing address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 771-3122
(928) 771-3369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223757
AZ
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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