Individual
MRS. CHRISTINE A LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1010 CEREAL AVE, STE 300, HAMILTON, OH 45013-2776
(513) 751-2145
(513) 751-2138
Mailing address
1010 CEREAL AVE, STE 300, HAMILTON, OH 45013-2776
(513) 751-2145
(513) 751-2138
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.11391-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057598
—
OH
05
—
7100179630
—
KY
Enumeration date
03/22/2010
Last updated
01/18/2021
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