Individual
LEONARD OLLENNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
519 ALLGAIR AVE, NORTH BRUNSWICK, NJ 08902-2907
(732) 447-4687
Mailing address
519 ALLGAIR AVE, NORTH BRUNSWICK, NJ 08902-2907
(732) 447-4687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ14910000
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14910000
NJ
Other
Enumeration date
08/31/2023
Last updated
01/22/2025
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