| Doctor Name: | JULIE A LEADER |
| NPI Number: | 1033303185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN137139 AP2660 |
| Business Practice Address: | 1756 E Villa Dr Ste C-4 Cottonwood, AZ - 863264705 |
| Business Phone Number: | 9286341614 |
| Business Fax Number: | 9286341462 |
| Mailing Address: | 51 Bell Rock Pmb 150, Suite A SEDONA |
| State: | AZ |
| Postal Code: | 86351 |
| Phone Number: | 9282020806 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2007 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN137139 AP2660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |