National Provider Identifier Database

NANCY S LEAKE, APRN – NPI #1902872328
Psychiatric/Mental Health


Contact Information

NANCY S LEAKE, APRN
103 S MAIN ST
MIDDLETOWN, CT06457-3651
Phone: 860-358-8760
Fax: 860-358-8754
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Psychiatric/Mental Health, Adult 364SP0809X

* Indicates primary specialty

NPI Profile & details for NANCY S LEAKE

NPI Number 1902872328
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/25/2006
Last updated 03/05/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 001012
  • CT License #: 1012
  • CT Other: 001012 APRN CONN LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for NANCY S LEAKE, APRN

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