Individual
JULIE BONNER LEONHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2000 WASHINGTON ST, SUITE 201, NEWTON, MA 02462-1650
(617) 244-2855
Mailing address
2000 WASHINGTON ST, SUITE 201, NEWTON, MA 02462-1650
(617) 244-2855
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
259634
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134199912
NPI
MA
Enumeration date
04/09/2007
Last updated
07/08/2007
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