Individual
ANDREW W. LEUKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CDOE
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN65957
RI
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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