Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 232130 | MA |
NPI | 1649305202 |
---|---|
Provider Name | Melissa H Leonard |
First Address | West Barnstable, MA 02668-1817 |
Second Address | Hyannis, MA 02601-5205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |