Individual
CYNTHIA RENEE LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
105 WALL ST, POTEAU, OK 74953-4433
(918) 647-8161
Mailing address
40048 ROUND MTN RD, HOWE, OK 74940-5002
(918) 385-1595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206451
OK
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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