Edmondson, Aura Leaf Kaila

Edmondson, Aura Leaf Kaila is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Edmondson, Aura Leaf Kaila can be contacted via phone (520) 324-3771.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2874
Fax: (520) 324-8091
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP2578 Arizona

Profile Details

NPI number 1972620318
LBN Legal business name Edmondson, Aura Leaf Kaila
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Sep 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972620318 NPPES
Arizona MEDICAID 674899

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