Individual
AMY LECLERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7959
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 981-2206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G160257
IA
Other
Enumeration date
08/06/2020
Last updated
11/18/2020
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