Individual
LESLIE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
19636 N 27TH AVE, STE 401, PHOENIX, AZ 85027-4013
(602) 298-8888
(602) 978-4129
Mailing address
P.O. BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN091028
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP 1352
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z3967
HEALTHNET
AZ
05
—
796617
—
AZ
Enumeration date
02/21/2006
Last updated
03/25/2015
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