Provider Demographics
NPI:1598154577
Name:MCLEOD, CONNIE (FNP-C)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3875 E WILLIAMS FIELD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-5062
Mailing Address - Country:US
Mailing Address - Phone:480-568-7180
Mailing Address - Fax:480-568-7185
Practice Address - Street 1:3875 E WILLIAMS FIELD RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-5062
Practice Address - Country:US
Practice Address - Phone:480-568-7180
Practice Address - Fax:480-568-7185
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily