Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 070715-23 | NH |
NPI | 1033514682 |
---|---|
Provider Name | Megan E Leonard |
First Address | Bedford, NH 03110-6763 |
Second Address | Bedford, NH 03110-6763 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2014 |
Last Update Date | 21/08/2017 |