Individual
AMMIE MICHELLE LEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4251 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(713) 534-7750
(314) 648-2625
Mailing address
1553 KNOLLWAY DR, FERGUSON, MO 63135-1405
(314) 484-7082
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
2015007419
MO
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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