Provider Demographics
NPI:1477333557
Name:MLEVERINGLC
Entity Type:Organization
Organization Name:MLEVERINGLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERIO LEVERING
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:602-405-9307
Mailing Address - Street 1:8327 E DESERT COVE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6520
Mailing Address - Country:US
Mailing Address - Phone:602-405-9307
Mailing Address - Fax:
Practice Address - Street 1:4425 N 24TH ST STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-0517
Practice Address - Country:US
Practice Address - Phone:602-405-9307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care