Doctor Name: | MELISSA LEONARD |
NPI Number: | 1568870384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 338966 |
Business Practice Address: | 418 S Hamilton St Painted Post, NY - 148709705 |
Business Phone Number: | 6079362089 |
Business Fax Number: | 6079368176 |
Mailing Address: | 571 Saint Josephs Blvd Fl 2, ELMIRA |
State: | NY |
Postal Code: | 149013230 |
Phone Number: | 6072712050 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2014 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 338966 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |