Krystal Dawn Leach, CRNP
Nurse Practitioner, Psych/Mental Health in Warren, PA. Individual provider (NPI-1).
Details
- NPI
- 1245965664
- Entity type
- Individual (NPI-1)
- Name
- Krystal Dawn Leach
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP025861 | PA | Yes |
Practice location
1048 Pennsylvania Ave WWarren, PA 16365-1838
Phone 814-230-9111 · Fax 814-313-1075
Mailing address
1048 Pennsylvania Ave WWarren, PA 16365-1838
Phone 814-230-9111 · Fax 814-313-1075
Other practice locations
Warren, PA 16365-1876
Phone 814-723-5545
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Warren, PA
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All 9 Psychiatric/Mental Health Nurse Practitioner providers in Warren · All 449 providers in Warren
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