Individual
TIFFANY LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
350580
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
NP14692
OH
Other
Enumeration date
06/27/2013
Last updated
12/27/2021
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