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Leloole Sole Barika, FNP
Family Nurse Practitioner in Peridot, Arizona
NPI 1124315908

Leloole Sole Barika is a Family Nurse Practitioner based in Peridot, AZ and is specialized in Family. Leloole Sole Barika practices in Peridot, AZ and has the professional credentials of FNP. The NPI Number for Leloole Sole Barika is 1124315908 and holds a License No. 220610 (Arizona).

The current practice location address for Leloole Sole Barika is 103 Medicine Way Road, Peridot, AZ and can be reached out via phone at 928-475-1400.

Location: 103 Medicine Way Road, Peridot, AZ, 85542-0787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124315908
Provider Name
Leloole Sole Barika
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
103 Medicine Way Road, Peridot, AZ, 85542-0787
Phone Number
928-475-1400
Fax Number
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
546139 05 AZ
institution
Provider Business Practice Location Address Details
Address
103 Medicine Way Road
City
Peridot
State
Arizona
Zip
85542-0787
Phone Number
928-475-1400
Fax Number
person
Provider Business Mailing Address Details
Address
103 Medicine Way Road
City
Peridot
State
Arizona
Zip
85542-0787
Phone Number
928-475-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
220610 (Arizona)
Definition
Definition to come...
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