Individual
LEAH FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1240 S BROAD ST STE 130, LANSDALE, PA 19446-5395
(215) 361-5040
Mailing address
425 BILL SMITH BLVD, KING OF PRUSSIA, PA 19406-3086
(610) 804-3403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN675811
PA
363L00000X
Nurse Practitioner
Primary
SP021577
PA
Other
Enumeration date
10/13/2015
Last updated
07/15/2020
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