Provider Demographics
NPI:1063665875
Name:GRESSLEY, LEIGH ADELL (MSN/FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:ADELL
Last Name:GRESSLEY
Suffix:
Gender:F
Credentials:MSN/FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 E MUIRWOOD DR
Mailing Address - Street 2:STE 111
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7693
Mailing Address - Country:US
Mailing Address - Phone:480-961-2365
Mailing Address - Fax:480-961-2382
Practice Address - Street 1:4530 E MUIRWOOD DR
Practice Address - Street 2:STE 111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7693
Practice Address - Country:US
Practice Address - Phone:480-961-2365
Practice Address - Fax:480-272-7321
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily