Individual ProviderLee Ann HeardRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1511PECOS EnrollmentBased on the most recent information from CMS, provider Lee Ann Heard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417149931Provider TypeIndividualFull NameHeard, Lee AnnCredentialRNGenderFemaleSole ProprietorNoEnumeration Date8/17/2007Last Updated8/17/2007Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1511Fax(602) 263-1619Mailing LocationMailing AddressPO Box 31001-0698, Pasadena, CA 91110-0698Phone(602) 263-1511Fax(602) 263-1619Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN094404Arizona