Individual
DR. ANNE REYNOLDS LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
45-260 WAIKALUA RD., SUITE 101, KANEOHE, HI 96744-3516
(808) 234-5562
(808) 650-5031
Mailing address
1301 PUNCHBOWL ST., CLARK APT 411, HONOLULU, HI 96713
(808) 691-5309
(808) 691-7822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-77
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497190
—
HI
Enumeration date
07/18/2006
Last updated
01/09/2020
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