Individual
ELISE D. LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5105 SOM CENTER ROAD, STE 202, WILLOUGHBY, OH 44094
(440) 953-5760
(440) 953-5761
Mailing address
307 W MAIN ST, STE C, KENT, OH 44240-2400
(330) 677-3628
(330) 677-3626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-15021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090912
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
08/26/2013
Last updated
02/10/2022
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