Reese, Leadele M

Reese, Leadele M is an individual health care provider with primary practice located at 7350 Industrial Park Blvd , Mentor OH 44060-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Reese, Leadele M can be contacted via phone (216) 732-9480.

Contact Information

Primary practice address
7350 Industrial Park Blvd Mentor OH 44060-5318
Phone: (216) 732-9480
Fax: (440) 942-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN306751 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.10301-NP Ohio

Profile Details

NPI number 1821242272
LBN Legal business name Reese, Leadele M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Dec 12th, 2014 - about 10 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 1821242272 NPPES
Ohio MEDICAID 2944103

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