Leisure, Deborah Ann

Leisure, Deborah Ann is an sole proprietor health care provider with primary practice located at 15034 N Parkview Pl , Surprise AZ 85379-6076. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Leisure, Deborah Ann can be contacted via phone (623) 876-7804.

Contact Information

Primary practice address
15034 N Parkview Pl Surprise AZ 85379-6076
Phone: (623) 876-7804
Fax: (623) 876-7811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP039319 Arizona

Profile Details

NPI number 1225168438
LBN Legal business name Leisure, Deborah Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1225168438 NPPES
Arizona MEDICAID 913609

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