Individual
DR. LAURA GROBLEWSKI LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRNP, APRN
Contact information
Practice address
123 EGG HARBOR RD, SUITE 703 TOWER COMMONS, SEWELL, NJ 08080-9406
(856) 556-0860
(844) 276-7656
Mailing address
123 EGG HARBOR RD, SUITE 703 TOWER COMMONS, SEWELL, NJ 08080-9406
(856) 556-0860
(844) 276-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08502400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NC08502400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP008666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6661009
—
NJ
Enumeration date
09/28/2006
Last updated
02/03/2017
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