Individual
LESLEE JOAN TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, FNP-C
Contact information
Practice address
4319 W BELL RD, GLENDALE, AZ 85308-3530
(602) 888-0448
Mailing address
4319 W BELL RD, GLENDALE, AZ 85308-3530
(602) 888-0448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN087497
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP1258
AZ
363LF0000X
Family Nurse Practitioner
RN087497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187182
—
AZ
Enumeration date
07/19/2005
Last updated
04/08/2020
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