Individual
LEISA CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 BARRANCAS AVE, PENSACOLA, FL 32507-2374
(850) 741-3428
Mailing address
3470 BARRANCAS AVE, PENSACOLA, FL 32507-2374
(850) 741-3428
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
9477276
FL
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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