Individual provider · Type 1 NPI
Marisol Moreno Leon, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Laveen, AZ
NPI number
1629637095
Active
Practice location
5317 W Pecan Rd
Laveen, AZ 85339-2457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 227283 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629637095
Marisol Moreno Leon, PMHNP-BC's National Provider Identifier is 1629637095, issued on Jun 10, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Laveen, AZ. The record was last updated on Jun 10, 2019.