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Search › Arizona › 363LF0000X

Liceett Pena, FNP-C

NPI 1740705961 · on the registry since 2017

Practice

Address
616 E Southern Ave Ste 103
Mesa, AZ 85204
Phone
(602) 569-3999
Fax
(602) 569-3887
Clinicians at this address
12

Additional practice sites

  • 1315 W Southern Ave, Tempe, AZ
  • 301 E Cottonwood Ln Ste 12, Casa Grande, AZ
  • 13402 N 32nd St Ste 5, Phoenix, AZ
  • 7734 N 59th Ave, Glendale, AZ
  • 1533 E Willetta St, Phoenix, AZ

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona