Individual
LEIGH ANN NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2051 CLEVIDENCE BLVD STE C, CLARKSVILLE, IN 47129-2278
(812) 280-6623
(812) 280-6632
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01080796A
IN
Other
Enumeration date
04/05/2016
Last updated
12/12/2023
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