LEEANNA PETERSON FNP-C NPI 1669821112

NPI Information

NPI: 1669821112
Provider Name: LEEANNA PETERSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: EDLC, LLC

PECOS Registration: Yes

Address:
7344 E DEER VALLEY RD STE 100
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 513-1042
Get Directions

Leeanna Peterson, FNP-C is a family nurse practitioner in Scottsdale, AZ with 12 years of experience. Leeanna Peterson, FNP-C NPI is 1669821112. 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:

7344 E DEER VALLEY RD STE 100
SCOTTSDALE, AZ
ZIP 85255-456
Phone: (480) 513-1042
Fax: (480) 513-1043

The NPI 1669821112 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 6/6/2016 and was last updated on 9/10/2021.

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
1	363LF0000X	Nurse Practitioner	Family	AP8699	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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