Dietra A Leastman
Nurse Practitioner - Neonatal
550 N Hillside St
Wichita
, Kansas 67214-4910
Dietra A Leastman
Nurse Practitioner - Neonatal
550 N Hillside St
Wichita
, Kansas 67214-4910
(316) 962-8581
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Dietra A Leastman
- Po Box 47490
- Wichita, KS
- Zip : 67201-7490
- Fax : (316) 962-8581
- Phone : (316) 962-8580
Second Address
- Dietra A Leastman
- 550 N Hillside St
- Wichita, KS
- Zip : 67214-4910
- Fax : (316) 962-8581
- Phone : (316) 962-8580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 75393 | KS |
National Provider Identifier
| NPI | 1124384995 |
|---|---|
| Provider Name | Dietra A Leastman |
| First Address | Wichita, KS 67201-7490 |
| Second Address | Wichita, KS 67214-4910 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.