Edmondson, Aura Leaf Kaila
Edmondson, Aura Leaf Kaila is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Edmondson, Aura Leaf Kaila can be contacted via phone (520) 324-3771.Contact Information
Primary practice address
5301 E Grant Rd
Tucson AZ 85712-2874
Phone: (520) 324-3771
Fax: (520) 324-8091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP2578 | Arizona |
Profile Details
| NPI number | 1972620318 |
|---|---|
| LBN Legal business name | Edmondson, Aura Leaf Kaila |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Sep 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972620318 | NPPES |
| Arizona | MEDICAID | 674899 |
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