Individual
ELLEN R LEICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10000 BAY PINES BOULEVARD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10006 BENTLEY WAY, TAMPA, FL 33626-5141
(727) 967-4838
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034247
FL
Other
Enumeration date
10/11/2024
Last updated
10/19/2024
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