Individual
MRS. LEIGHANN L NUNNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 987-5000
Mailing address
1008 CLINTON AVE, SAINT CLAIR, MI 48079-4953
(810) 650-6465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234857
MI
Other
Enumeration date
09/28/2010
Last updated
03/13/2015
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