Individual
DONICE LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3924 MINNESOTA AVE NE, WASHINGTON, DC 20019-2661
(202) 398-8683
Mailing address
1220 12TH ST SE, SUITE 120, WASHINGTON, DC 20003-3722
(202) 715-7900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R204968
MD
363LF0000X
Family Nurse Practitioner
Primary
RN1008783
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
08/14/2014
Last updated
11/05/2024
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