Liceett Pena, FNP-C is a family nurse practitioner in Mesa, AZ with 6 years of experience. Liceett Pena, FNP-C NPI is 1740705961. 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:
616 E SOUTHERN AVE STE 103
MESA, AZ
ZIP 85204
Phone: (602) 569-3999
Fax: (602) 569-3887
The NPI 1740705961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/9/2017 and was last updated on 9/21/2018.