Provider Demographics
NPI:1629795844
Name:VOZEL, LEANNE NICOLE
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:NICOLE
Last Name:VOZEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:NICOLE
Other - Last Name:OVERFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SCRUB TECH
Mailing Address - Street 1:3032 W CAVALRY DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-3215
Mailing Address - Country:US
Mailing Address - Phone:812-449-5644
Mailing Address - Fax:
Practice Address - Street 1:1130 E MISSOURI AVE STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2712
Practice Address - Country:US
Practice Address - Phone:602-995-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist