Individual
ELIZABETH A LEINHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1043319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051501370
FEDERAL BLUE CROSS
AL
01
—
330000005
MEDICAID REHAB
AL
01
—
43631
BLUE CROSS
AL
Enumeration date
08/08/2006
Last updated
03/16/2013
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