Lea A Way
Nurse Practitioner in Yarnell, AZ. Organization (NPI-2).
NPI number1720280837
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720280837
- Entity type
- Organization (NPI-2)
- Legal business name
- Lea A Way
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 154 | AZ | Yes |
Other names
- Yarnell Medical Clinic (Other Name)
Practice location
22869 Us Hwy 89Yarnell, AZ 85362
Phone 928-427-3411 · Fax 928-427-6541
Mailing address
Po Box 728Yarnell, AZ 85362-0728
Phone 928-427-3411 · Fax 928-427-6541
Authorized official
Lea E Way
Owner
9284273411
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.