Individual
BARRY ALLEN LEYDECKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6375 W CHARLESTON BLVD BLDG L, LAS VEGAS, NV 89146-1139
(702) 259-1903
(702) 259-1907
Mailing address
7139 S DURANGO DR UNIT 216, LAS VEGAS, NV 89113-2081
(702) 373-9169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817437
NV
Other
Enumeration date
07/20/2019
Last updated
09/23/2020
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