Individual provider · Type 1 NPI
Leeann Rene Groveunder, FNP-C
Family Nurse Practitioner · Prescott Valley, AZ
NPI number
1316692445
Active
Practice location
10860 E Lady Bug Ln
Prescott Valley, AZ 86315-4861
Mailing address
10860 East Ladybug Place
Prescott Valley, AZ 86315-3307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 274014 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316692445
Leeann Rene Groveunder, FNP-C's National Provider Identifier is 1316692445, issued on Feb 17, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Apr 21, 2022.