Individual
ANGELA LEONARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
306 EVERGREEN ST, CHURCH HILL, TN 37642-4215
(423) 857-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN109887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3627488
—
TN
Enumeration date
05/11/2006
Last updated
07/08/2007
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