Leandra Elthie, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Winslow, AZ
NPI 1992149736 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1992149736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- RN176883 (AZ)
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-6230
- Fax
- (928) 289-6229
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176883 | AZ | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN176883 | AZ | Yes |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-6230
Other providers in Winslow, AZ
- Regina Eckhardt
- El Rio Santa Cruz Neighborhood Health Center, Inc.
- Deanna Eldred
- Bill Elliott
- Fred H Elsen
- Emcare Physician Providers, Inc
- Bryan Andrew Feinstein
- David Michael Ferguson
- Alexia Simao Fernandes
- Jacqueline Fountain
All providers in Winslow, AZ · Ambulatory Care Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. 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.