MRS. LATISHA RAE LEONARD -BERNIER PA-C NPI 1780649210

NPI Information

NPI: 1780649210
Provider Name: MRS. LATISHA RAE LEONARD -BERNIER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: HONORHEALTH AMBULATORY

PECOS Registration: Yes

Address:
1919 E THOMAS RD
EAST BUILDING
PHOENIX, AZ
ZIP 85016
Phone: (602) 546-1900
Get Directions

MRS. Latisha Rae Leonard -bernier, PA-C is a surgical physician assistant in Phoenix, AZ with 15 years of experience. MRS. Latisha Rae Leonard -bernier, PA-C NPI is 1780649210. 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:

1919 E THOMAS RD
EAST BUILDING
PHOENIX, AZ
ZIP 85016-710
Phone: (602) 546-1900
Fax: (602) 546-1918

The NPI 1780649210 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 4/18/2006 and was last updated on 2/5/2014.

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	2255A2300X	Specialist/Technologist	Athletic Trainer	0405	ARIZONA	No
2	363AS0400X	Physician Assistant	Surgical	4535	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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