Etheridge, Leeandra Ld
Etheridge, Leeandra Ld is an individual health care provider with primary practice located at 3260 N Hayden Rd # 210-14 , Scottsdale AZ 85251-6649. She recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Etheridge, Leeandra Ld can be contacted via phone (602) 435-7700.Contact Information
Primary practice address
3260 N Hayden Rd # 210-14
Scottsdale AZ 85251-6649
Phone: (602) 435-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | ||
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X |
Profile Details
| NPI number | 1528720612 |
|---|---|
| LBN Legal business name | Etheridge, Leeandra Ld |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2021 |
| Last updated | Jun 25th, 2024 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528720612 | NPPES |
| Arizona | MEDICAID | 5 | |
| Arizona | Other | 871421001 | |
| Arizona | MEDICAID | 87-1421001 | |
| Arizona | Other | 152870612 |
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