Individual
ANN L LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
123505
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044636
BMC
MA
01
—
0022515
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0320684
—
MA
01
—
23361-1
BCBSRI
MA
01
—
402778
BCBSRIBLUECHIP
MA
01
—
42221
CHILDRENSMEDSECURITY
MA
01
—
NP1039
BCBCMA
MA
Enumeration date
06/18/2005
Last updated
01/25/2008
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