Leake, Nancy S.

Leake, Nancy S. is an individual health care provider with primary practice located at 103 S Main St , Middletown CT 06457-3651. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Leake, Nancy S. can be contacted via phone (860) 358-8760.

Contact Information

Primary practice address
103 S Main St Middletown CT 06457-3651
Phone: (860) 358-8760
Fax: (860) 358-8754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 001012 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1012 Connecticut

Profile Details

NPI number 1902872328
LBN Legal business name Leake, Nancy S.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Mar 5th, 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 1902872328 NPPES
Connecticut Other 001012 APRN CONN LICENSE

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