Individual
NICOLE RENEE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
217 HARRISBURG AVE, LANCASTER, PA 17603-2964
(717) 544-8300
(717) 544-8265
Mailing address
47 CIRCLE DR, YORK, PA 17402-4902
(717) 487-2021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013381
PA
363LG0600X
Gerontology Nurse Practitioner
SP013381
PA
Other
Enumeration date
03/11/2014
Last updated
07/21/2022
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