Individual
CHERYL A LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1684 BUSH LN, CRAWFORDSVILLE, IN 47933-3364
(765) 365-9500
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000030
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071950
—
IN
Enumeration date
09/26/2005
Last updated
10/28/2016
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