| Doctor Name: | NANCY MAE LEONARD |
| NPI Number: | 1174773550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CCN |
| License Number: | NC 175 |
| Business Practice Address: | 1046 Ne Jensen Beach Blvd Jensen Beach, FL - 349574706 |
| Business Phone Number: | 7725292777 |
| Business Fax Number: | |
| Mailing Address: | Po Box 525, JENSEN BEACH |
| State: | FL |
| Postal Code: | 349580525 |
| Phone Number: | 7723340101 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | NC 175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |