Individual
LEIGHANNE BERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 N 2ND ST, GREENVILLE, PA 16125-2421
(724) 877-0226
Mailing address
114 N 2ND ST, GREENVILLE, PA 16125-2421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN302353
PA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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