Individual
NICOLE LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4101 S. 4TH STREET TRAFFICWAY, BUILDING 90 ROOM A535B, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
4101 S 4TH ST BLDG 90, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
13-101157-042
KS
363LA2200X
Adult Health Nurse Practitioner
53-80058-042
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
53-80058-042
KS
Other
Enumeration date
03/19/2021
Last updated
07/27/2023
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