Leake, Anne Reynolds

Leake, Anne Reynolds is an individual health care provider with primary practice located at 45-260 Waikalua Rd. Suite 101, Kaneohe HI 96744-3516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leake, Anne Reynolds can be contacted via phone (808) 234-5562.

Contact Information

Primary practice address
45-260 Waikalua Rd. Suite 101 Kaneohe HI 96744-3516
Fax: (808) 650-5031
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-77 Hawaii

Profile Details

NPI number 1801814405
LBN Legal business name Leake, Anne Reynolds
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 9th, 2020 - about 6 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 1801814405 NPPES
Hawaii MEDICAID 497190

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