Individual provider · Type 1 NPI
Lianet Lantigua Ponce de Leon
Family Nurse Practitioner · Phoenix, AZ
NPI number
1265122584
Active
Practice location
10645 N 43rd Ave
Phoenix, AZ 85029-3944
Fax (602) 314-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F05230008 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN305992 (AZ) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1265122584
Lianet Lantigua Ponce de Leon's National Provider Identifier is 1265122584, issued on May 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 23, 2024.