Individual
LEIGH ANNE DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNRP
Contact information
Practice address
5501 OLD YORK RD FL LIFTER2, PHILADELPHIA, PA 19141-3018
(215) 456-6696
(215) 456-6769
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SP021348
PA
363LN0005X
Critical Care Neonatal Nurse Practitioner
NPPA039921
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103846743
—
PA
Enumeration date
03/15/2020
Last updated
02/24/2021
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