Individual
MR. NELSON LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
38 BERWYN ST, MILFORD, CT 06461-4010
(203) 571-3233
(801) 752-0632
Mailing address
793 POST RD E STE A204, WESTPORT, CT 06880-5243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8964
CT
363LF0000X
Family Nurse Practitioner
Primary
8964
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8964
CT
363LP2300X
Primary Care Nurse Practitioner
8964
CT
Other
Enumeration date
07/23/2020
Last updated
01/08/2026
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