Individual
ANA DELIA LEIBECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD, SUITE NUMBER 204, DAYTON, OH 45459-3859
(937) 401-6822
(937) 401-6935
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 914-7054
(937) 522-7685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN308764
OH
363L00000X
Nurse Practitioner
COA.12518-NP
OH
363LF0000X
Family Nurse Practitioner
9236898
FL
363LF0000X
Family Nurse Practitioner
ARNP9301843
FL
363LF0000X
Family Nurse Practitioner
Primary
COA.12518-NP
OH
363LF0000X
Family Nurse Practitioner
R157670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075893
—
OH
Enumeration date
12/27/2005
Last updated
09/04/2014
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