Individual
LEANNA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
20172 E STAGECOACH TRL, MAYER, AZ 86333-2357
(928) 632-4399
Mailing address
20172 E STAGECOACH TRL, MAYER, AZ 86333-2357
(928) 632-4399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
284734
AZ
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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