Leah Marie Minard, APRN-CNP | |
4211 State Route 44, Rootstown, OH 44272-9733 | |
(330) 325-3202 | |
(833) 606-1565 |
Full Name | Leah Marie Minard |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4211 State Route 44, Rootstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831934272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0036631 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | APRN.CNP.0036631 (Ohio) | Primary |
Entity Name | Osup Community Outreach Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
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Leah Marie Minard, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (330) 325-3202 | Leah Marie Minard, APRN-CNP 4211 State Route 44, Rootstown, OH 44272-9733 Ph: (330) 325-3202 |
Mr. Shawn Cedric Richards, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4211 State Route 44 Ste 203, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 | |
Aubrey Lynn Holcomb, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4211 State Route 44 Ste 203, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 |