Deborah Ann Leisure in Surprise - Licensed Practical Nurse
Deborah Ann Leisure - NPI 1225168438
Deborah Ann Leisure is a Licensed Practical Nurse in Surprise, Arizona. Deborah Ann Leisure practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Deborah Ann Leisure is 1225168438. The last update date is 2007-07-08.
Deborah Ann Leisure's current location address is 15034 N Parkview Pl, Surprise, Arizona. You can contact this provider via phone number 6238767804 and fax number 6238767811. The mailing address for Deborah Ann Leisure is 15034 N Parkview Pl, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Ann Leisure |
|---|---|
| Address | 15034 N Parkview Pl, Surprise, Arizona |
| Phone Number | 6238767804 |
| Fax Number | 6238767811 |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1225168438 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15034 N Parkview Pl |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853796076 |
| Phone Number | 6238767804 |
| Fax Number | 6238767811 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LP039319 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 913609 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Deborah Ann Leisure by the Centers for Medicare & Medicaid Services?
The Deborah Ann Leisure has been assigned the NPI (National Provider Identifier) 1225168438 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Deborah Ann Leisure located?
The Deborah Ann Leisure is located at 15034 N Parkview Pl, Surprise, AZ 853796076.
What is Deborah Ann Leisure's specialized field of practice, and what is the corresponding taxonomy classification code?
The Deborah Ann Leisure's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225168438 to Deborah Ann Leisure?
The Centers for Medicare & Medicaid Services originally issued the 1225168438 to Deborah Ann Leisure on 2007-03-06.
As of what date were the details related to Deborah Ann Leisure most recently updated or revised?
The information pertaining to Deborah Ann Leisure, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.