Provider Demographics
NPI:1003338518
Name:LEIFSON, BRETT LEE (APRN MSN PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:LEE
Last Name:LEIFSON
Suffix:
Gender:M
Credentials:APRN MSN PMHNP-BC
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Mailing Address - Street 1:7373 N SCOTTSDALE RD STE A199
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3593
Mailing Address - Country:US
Mailing Address - Phone:702-805-5360
Mailing Address - Fax:702-977-7488
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A199
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3593
Practice Address - Country:US
Practice Address - Phone:702-805-5360
Practice Address - Fax:702-977-7488
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2024-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAP10361363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health