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Individual

ELIZABETH LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
68 CAMP ST STE 1, HYANNIS, MA 02601-3048
(774) 470-1370
Mailing address
68 CAMP ST STE 1, HYANNIS, MA 02601-3048
(774) 487-7386

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2286817
MA
363LF0000X
Family Nurse Practitioner
Primary
F08180453
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/05/2014
Last updated
01/04/2019
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