| Doctor Name: | CHERYL A LEECH |
| NPI Number: | 1053307801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN BC |
| License Number: | 71000030 |
| Business Practice Address: | 1500 Darlington Ave Ste 300 Crawfordsville, IN - 479332057 |
| Business Phone Number: | 7653624940 |
| Business Fax Number: | 7653621302 |
| Mailing Address: | 1500 Darlington Ave, Ste 300 CRAWFORDSVILLE |
| State: | IN |
| Postal Code: | 479332057 |
| Phone Number: | 7653624940 |
| Fax Number: | 7653621302 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71000030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |