Individual
LEESA AVERY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630-8210
(916) 983-8868
Mailing address
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630-8210
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95034145
CA
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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