| Doctor Name: | MS. LEAH ANN RICCIARDI |
| NPI Number: | 1194199265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-BC |
| License Number: | 26NJ00604900 |
| Business Practice Address: | 2500 English Creek Ave Bld. 200. Suite 214 Egg Harbor Township, NJ - 082345549 |
| Business Phone Number: | 6099090200 |
| Business Fax Number: | 6099090267 |
| Mailing Address: | 3 Jacobs Ln, VOORHEES |
| State: | NJ |
| Postal Code: | 080434125 |
| Phone Number: | 6095603423 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2015 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00604900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |