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Individual
MRS. RUTH LORETTA LEAKE
Active
Individual
MRS. RUTH LORETTA LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201427
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609842772
—
NC
01
—
185YN
BCBS NC
NC
Enumeration date
02/27/2006
Last updated
05/01/2023
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