Individual
KIMBERLY ANN LEOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, 4 HVP, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Mailing address
51 N 39TH ST, 4 HVP, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NR14058300
NJ
363L00000X
Nurse Practitioner
SP011124
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP011124
PA
Other
Enumeration date
01/05/2011
Last updated
03/17/2018
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