Leeandra Ld Etheridge
Health Service
6599 E Thomas Rd Apt 2013
Scottsdale
, Arizona 85251-6034
Leeandra Ld Etheridge
Health Service
6599 E Thomas Rd Apt 2013
Scottsdale
, Arizona 85251-6034
(480) 809-4646
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Leeandra Ld Etheridge
- 3260 N Hayden Rd Ste 114
- Scottsdale, AZ
- Zip : 85251-6650
- Fax : (480) 809-4646
- Phone : (480) 659-3453
Second Address
- Leeandra Ld Etheridge
- 6599 E Thomas Rd Apt 2013
- Scottsdale, AZ
- Zip : 85251-6034
- Phone : (148) 065-9345
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Is Leeandra Ld Etheridge a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | AZ |
National Provider Identifier
| NPI | 1528720612 |
|---|---|
| Provider Name | Leeandra Ld Etheridge |
| First Address | Scottsdale, AZ 85251-6650 |
| Second Address | Scottsdale, AZ 85251-6034 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.