Individual
BRENDA S LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13515 S 154TH ST, GILBERT, AZ 85296-4431
(480) 678-5700
Mailing address
13515 S 154TH ST, GILBERT, AZ 85296-4431
(480) 678-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
06
AZ
363LF0000X
Family Nurse Practitioner
AP5477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912422
—
AZ
Enumeration date
08/13/2013
Last updated
07/25/2022
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