Individual
AMBER LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 E DUPONT RD STE 7, FORT WAYNE, IN 46825-1545
(260) 266-5260
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008730A
IN
Other
Enumeration date
01/07/2019
Last updated
10/12/2022
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