CAROLYN ELIZABETH LEACH CNP NPI 1861729204

NPI Information

NPI: 1861729204
Provider Name: CAROLYN ELIZABETH LEACH, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102
Phone: (651) 220-6624
Get Directions

Carolyn Elizabeth Leach, CNP is a pediatrics nurse practitioner in Saint Paul, MN. Carolyn Elizabeth Leach, CNP NPI is 1861729204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 SMITH AVE N
SAINT PAUL, MN
ZIP 55102-346
Phone: (651) 220-6624
Fax: (651) 220-6064

The NPI 1861729204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R156707-6	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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