Individual provider · Type 1 NPI
Edward Stanley Leyba, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1225765019
Active
Practice location
4140 E Baseline Rd Ste 101
Mesa, AZ 85206-4413
Fax (480) 582-3090
Mailing address
4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 278353 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225765019
Edward Stanley Leyba, PMHNP-BC's National Provider Identifier is 1225765019, issued on Aug 2, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Aug 16, 2024.