Individual
MRS. LEANNE PARKER GUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
599 E WILCOX DR, SIERRA VISTA, AZ 85635-2531
(520) 459-4604
(520) 459-4603
Mailing address
599 E WILCOX DR, SIERRA VISTA, AZ 85635-2531
(520) 459-4604
(520) 459-4603
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN195909
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z185028
MEDICARE ID
AZ
Enumeration date
07/28/2005
Last updated
01/27/2016
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