Individual
MS. ELLEN DOROTHY LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
570 MIDWOOD DR, BRICK, NJ 08724-4743
(732) 948-0676
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NN09590700
NJ
Other
Enumeration date
11/30/2011
Last updated
12/09/2020
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