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Individual

MRS. TAKESHA LA'SHAWN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2495 MAIN ST STE 466, BUFFALO, NY 14214-2135
(716) 260-9320
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP033342
PA
363LF0000X
Family Nurse Practitioner
F336180-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404581
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03210744
NY
Enumeration date
02/12/2010
Last updated
01/04/2026
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