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MARY LOU LEITNER FNP NPI 1730161829


NPI Information

NPI: 1730161829
Provider Name: MARY LOU LEITNER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
839 W CONGRESS ST
TUCSON, AZ
ZIP 85745
Phone: (520) 792-9890
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Mary Lou Leitner, FNP is a family nurse practitioner in Tucson, AZ. Mary Lou Leitner, FNP NPI is 1730161829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

839 W CONGRESS ST
TUCSON, AZ
ZIP 85745-819
Phone: (520) 792-9890
Fax: (520) 670-3816

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN017399ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120654MEDICARE ID-TYPE UNSPECIFIEDARIZONA
2S49298MEDICARE UPINARIZONA
3760076MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.