Individual
NICHOLAS G LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
13603 FLANAGAN BLVD, BOYS TOWN, NE 68010-7501
(402) 498-3358
(402) 498-3375
Mailing address
13603 FLANAGAN BLVD, BOYS TOWN, NE 68010-7501
(402) 498-3358
(402) 498-3375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8669
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660631
—
NE
Enumeration date
08/04/2008
Last updated
08/04/2008
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