Individual
LEADELE M REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7350 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(216) 732-9480
(440) 942-8431
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(888) 873-9595
(877) 473-8164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.10301-NP
OH
363L00000X
Nurse Practitioner
RN306751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2944103
—
OH
Enumeration date
11/12/2008
Last updated
12/12/2014
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