Individual
ELISHA B LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CFNP
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
(806) 468-1829
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
(806) 468-1829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
624866
TX
363L00000X
Nurse Practitioner
Primary
624866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624866
TEXAS STATE LICENSE NUMBER
TX
Enumeration date
01/06/2010
Last updated
04/07/2023
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