Provider Demographics
NPI:1881189223
Name:MCCARTNEY, LESLIE (NP-C)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17431 W ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-6040
Mailing Address - Country:US
Mailing Address - Phone:928-231-9221
Mailing Address - Fax:
Practice Address - Street 1:20470 N LAKE PLEASANT RD STE 109
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-9708
Practice Address - Country:US
Practice Address - Phone:623-404-2244
Practice Address - Fax:623-404-2245
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP11458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily