Individual
ADRIAN LEIBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1671 W MAIN ST, NEWARK, OH 43055-1345
(740) 522-5437
(740) 522-9609
Mailing address
1671 W MAIN ST, NEWARK, OH 43055-1345
(740) 522-5437
(740) 522-9609
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.023367
OH
363LP0200X
Pediatric Nurse Practitioner
APRNCNP023367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306482
—
OH
Enumeration date
07/27/2018
Last updated
03/24/2023
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