Krystal Dawn Leach, CRNP | |
1003 Pennsylvania Ave W, Warren, PA 16365-1876 | |
(814) 723-5545 | |
Not Available |
Full Name | Krystal Dawn Leach |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1003 Pennsylvania Ave W, Warren, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245965664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025861 (Pennsylvania) | Primary |
Entity Name | Deerfield Behavioral Health Of Warren, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134158314 PECOS PAC ID: 8325935661 Enrollment ID: O20040302000638 |
Entity Name | Pennsylvania Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790768471 PECOS PAC ID: 0547168064 Enrollment ID: O20041207000650 |
Entity Name | Childrens Center For Treatment And Education |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366609646 PECOS PAC ID: 4880750017 Enrollment ID: O20090312000564 |
Mailing Address | Practice Location Address |
---|---|
Krystal Dawn Leach, CRNP 1003 Pennsylvania Ave W, Warren, PA 16365-1876 Ph: () - | Krystal Dawn Leach, CRNP 1003 Pennsylvania Ave W, Warren, PA 16365-1876 Ph: (814) 723-5545 |
Kelly Allen, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 W 3rd Ave, Warren, PA 16365 Phone: 814-723-2219 Fax: 814-723-9127 | |
Mrs. Melissa Eckman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-0407 Fax: 814-726-9412 | |
Mrs. Amy R Ordiway, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Pennsylvania Ave W, Warren, PA 16365 Phone: 814-723-6550 | |
Mrs. Regan Nicole Olsen, MSN, BSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-3300 | |
Kathleen Jane Leigh-simms, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Crescent Park W, Warren, PA 16365 Phone: 814-723-3300 Fax: 814-726-9412 | |
Shelby Chimiak, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Farm Colony Dr, Warren, PA 16365 Phone: 866-682-3250 | |
Tracey E Mercer-benson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2817 Market St, Warren, PA 16365 Phone: 814-723-3794 |