BERTA LEIS PHD ANP-BC NPI 1467787861

NPI Information

  • NPI: 1467787861
  • Provider Name: BERTA LEIS, PHD, ANP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 6333 N 12TH ST UNIT 151
    PHOENIX, AZ
    ZIP 85014
  • Phone: (602) 730-0307

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NPI Details

Berta Leis, PHD, ANP-BC is an adult health nurse practitioner in Phoenix, AZ. Berta Leis, PHD, ANP-BC NPI is 1467787861. 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:

6333 N 12TH ST UNIT 151
PHOENIX, AZ
ZIP 85014-314
Phone: (602) 730-0307

The enumeration date for this NPI number is 10/3/2009 and was last updated on 10/24/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN053220ARIZONANo
2363LA2200XNurse PractitionerAdult HealthAP3180ARIZONAYes

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: 3/30/2025

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