Individual
LESHAUN NANYAMKA FITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7499
Mailing address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6521281
AL
208000000X
Pediatrics Physician
6521281
AL
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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