Individual
VICKI A. MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-7735
(602) 685-6000
(602) 275-1355
Mailing address
3003 N CENTRAL AVE STE 200, PHOENIX, AZ 85012
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
806423
CA
363LA2200X
Adult Health Nurse Practitioner
22229
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP7745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040908
—
AZ
Enumeration date
01/20/2012
Last updated
12/08/2016
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