Individual
MRS. LEAH NICOLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 369-4111
(954) 350-0909
Mailing address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 369-4111
(954) 350-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9450474
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9450474
FL
Other
Enumeration date
05/18/2017
Last updated
06/04/2025
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