Individual
MARY LOU LEITNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 792-9890
(520) 670-3816
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 792-9890
(520) 670-3816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN017399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760076
—
AZ
Enumeration date
11/15/2005
Last updated
07/08/2007
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