Nicole J Leet, LPN
Licensed Practical Nurse in Smethport, PA. Individual provider (NPI-1).
NPI number1255070710
StatusActive
Last updated in NPPESJun 2, 2022
Details
- NPI
- 1255070710
- Entity type
- Individual (NPI-1)
- Name
- Nicole J Leet
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2022
- Certification date
- Jun 2, 2022
- Last updated
- Jun 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 341733 | NY | Yes |
Practice location
143 Colegrove BrkSmethport, PA 16749-3303
Phone 814-706-7166
Mailing address
143 Colegrove BrkSmethport, PA 16749-3303
Phone 814-706-7166
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