Provider Demographics
NPI:1558767681
Name:LEONE, NICOLETTE JOANNA (DC)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:JOANNA
Last Name:LEONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 E PINNACLE PEAK RD STE C6
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3415
Mailing Address - Country:US
Mailing Address - Phone:203-376-1359
Mailing Address - Fax:
Practice Address - Street 1:7609 E PINNACLE PEAK RD STE C6
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3415
Practice Address - Country:US
Practice Address - Phone:203-376-1359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00721500111N00000X
AZ9010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor