NPI 1134719917 · live from the CMS NPI Registry
East Valley Rnfa, PLLC
Registered Nurse, Registered Nurse First Assistant in Gilbert, AZ. National Provider Identifier 1134719917, active.
NPI record
| NPI | 1134719917 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 2966 E Warbler Rd, Gilbert, AZ 85297 |
| Practice phone | 480-223-3015 |
| Mailing address | Po Box 1533, Gilbert, AZ 85299 |
| Enumerated | January 25, 2021 |
| Last updated | May 19, 2022 |
| Authorized official | Richard Lease, Owner |
| Other names | Richard Lease |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.