Individual
HEATHER ORMISTON-LECLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
632 S 13TH ST, DECATUR, IN 46733-1859
(260) 706-2013
(260) 301-3118
Mailing address
7314 MAEVE DR, FORT WAYNE, IN 46835-9204
(260) 440-6619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011277A
IN
363LF0000X
Family Nurse Practitioner
Primary
F10200747
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044824
—
OH
Enumeration date
10/13/2020
Last updated
09/18/2024
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