Individual provider · NPI-1

Leroy Anagho

Registered Nurse · Tempe, AZ

NPI number1447978846
StatusActive
Last updated in NPPESAug 22, 2022

Details

NPI
1447978846
Entity type
Individual (NPI-1)
Name
Leroy Anagho
Sex
Male
Sole proprietor
No
Enumeration date
Aug 22, 2022
Certification date
Aug 21, 2022
Last updated
Aug 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse317178NCYes
106S00000X Behavior Technician––
171400000X Health & Wellness Coach––
171M00000X Case Manager/Care Coordinator––

Practice location

1003 W Washington St Apt 4091
Tempe, AZ 85288-0940

Phone 901-230-6745

Mailing address

1003 W Washington St Apt 4091
Tempe, AZ 85288-0940

Phone 901-230-6745

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