Individual
NATALIE XIOMARA LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4855 CHESTERFIELD CT, SUWANEE, GA 30024-1350
(917) 447-8646
Mailing address
4855 CHESTERFIELD CT, SUWANEE, GA 30024-1350
(917) 447-8646
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
RN228647
GA
363L00000X
Nurse Practitioner
RN228647
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN228647
GA
Other
Enumeration date
10/05/2020
Last updated
01/27/2022
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