Individual provider · Type 1 NPI

Leanne Sue Prenovost, RN, MBA

Administrator Registered Nurse · Phoenix, AZ

NPI number 1306912340 Active

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Call (602) 263-1200 Map

Fax (602) 263-1619

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698

Specialties and licenses

Taxonomy	Code	License
Administrator Registered Nurse Primary	163WA2000X	RN072883 (AZ)

Administrator Registered Nurse: Definition to come...

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About NPI 1306912340

Leanne Sue Prenovost, RN, MBA's National Provider Identifier is 1306912340, issued on Nov 28, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.