Individual
DANIELLE LEE LECKENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
215 E HAWAII AVE # 140, NAMPA, ID 83686-6011
(208) 514-2529
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8761879
ID
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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