Individual
MRS. KATELYN ELIZABETH LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, LOC 650, BOSTON, MA 02115-5724
(617) 355-6832
Mailing address
300 LONGWOOD AVE, LOC 650, BOSTON, MA 02115-5724
(617) 355-6832
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2276796
MA
Other
Enumeration date
01/13/2017
Last updated
04/12/2018
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