Individual
AMANDA LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, NTMNC,IBCLC
Contact information
Practice address
4853 E IRLO BRONSON MEMORIAL HWY # 1027, SAINT CLOUD, FL 34771-8722
(407) 906-0591
Mailing address
4853 E IRLO BRONSON MEMORIAL HWY # 1027, SAINT CLOUD, FL 34771-8722
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9496414
FL
163WN0002X
Neonatal Intensive Care Registered Nurse
9496414
FL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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