Leona Lorraine John
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Page, AZ
NPI 1003168097 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1003168097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 273445215 (AZ)
- Practice address
- 111 Hawk Court
Page, AZ 86040-0447 - Phone
- (928) 660-2647
- Fax
- (928) 698-3468
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273445215 | AZ | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 273445215 | AZ | Yes |
Addresses
Primary practice location
111 Hawk Court
Page, AZ 86040-0447
Mailing address
PO Box 447
Bitter Springs Hse #50
Page, AZ 86040-0447
Phone (928) 660-2647
Other providers in Page, AZ
- Raymond Lee Holsten
- Horizon Home Health LC
- Beverly Jean Horton
- Kalvintina Lisa Hudson
- Infinity of Page Home Health Services, LLC
- Johnson Medical PLC
- Andrea Johnson
- Douglas Arthur Johnson
- Dennis Jones
- Irene B Jones
All providers in Page, AZ · Non-emergency Medical Transport (VAN) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.