Berry, Leigh Ann

Berry, Leigh Ann is an individual health care provider with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Berry, Leigh Ann can be contacted via phone (479) 463-1019.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703-4424
Phone: (479) 463-1019
Fax: (918) 664-2521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02752 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R34315 Arkansas

Profile Details

NPI number 1356580328
LBN Legal business name Berry, Leigh Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2009
Last updated Feb 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356580328 NPPES
Arkansas Other 7701089901 ARKANSAS BREASTCARE
Arkansas MEDICAID 178230001 ARKANSAS BREASTCARE
Arkansas MEDICAID 200241170A ARKANSAS BREASTCARE

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