Individual
MARIE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
840 NE 212TH TER APT 2, MIAMI, FL 33179-1363
(786) 991-4787
Mailing address
840 NE 212TH TER APT 2, MIAMI, FL 33179-1363
(786) 991-4787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11023857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11023857
UNITED HEALTHCARE
FL
05
—
11023857
—
FL
Enumeration date
01/18/2023
Last updated
01/18/2023
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