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Individual

MRS. MARY RUTH LEYENDECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1910 FAIRGROVE AVE, HAMILTON, OH 45011-1930
(513) 868-0055
Mailing address
1910 FAIRGROVE AVE, HAMILTON, OH 45011-1930
(513) 868-0055

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COA.18443-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.18443.CNP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.18443
OH

Other

Enumeration date
12/03/2015
Last updated
01/22/2026
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