Nichole Leary, is a
Rehabilitation Practitioner based in San Diego, California. Nichole Leary is licensed to practice in * (Not Available) (license number ) and her current practice location is
2351 Cardinal Ln, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 573-2227.
NPI number for Nichole Leary is 1154625432 and her current mailing address is 2351 Cardinal Ln, B, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154625432.
Healthcare Provider's Profile
| Full Name | Nichole Leary |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2351 Cardinal Ln, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154625432
- Provider Enumeration Date: 12/31/2010
- Last Update Date: 04/04/2023
Medical Identifiers
Medical identifiers for Nichole Leary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154625432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Leary is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nichole Leary,
2351 Cardinal Ln, B,
San Diego, CA 92123-3743
Ph: (858) 573-2227 | Nichole Leary,
2351 Cardinal Ln,
San Diego, CA 92123-3743
Ph: (858) 573-2227 |
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