Individual
LEANNE J KOCEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5430 LANDMARK LN, PRESCOTT, AZ 86301-0019
(928) 775-9430
(928) 775-9431
Mailing address
PO BOX 910221, DALLAS, TX 75391-5999
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7328
AZ
Other
Enumeration date
09/26/2013
Last updated
10/10/2023
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