Mrs Amanda Marie Leach, MSN, RN, CPNP is a
Nurse Practitioner - Pediatrics based in New Hudson, Michigan. Mrs Amanda Marie Leach is licensed to practice in Michigan (license number 4704269396) and her current practice location is
31001 Bramley Cir, New Hudson, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 557-5570.
NPI number for Mrs Amanda Marie Leach is 1336512383 and her current mailing address is 31001 Bramley Cir, New Hudson, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336512383.
Provider's Profile
Full Name | Mrs Amanda Marie Leach |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 31001 Bramley Cir, New Hudson, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336512383
- Provider Enumeration Date: 11/12/2015
- Last Update Date: 11/12/2015
Medical Identifiers
Medical identifiers for Mrs Amanda Marie Leach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336512383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 4704269396 (Michigan) | 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. Mrs Amanda Marie Leach 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 |
Mrs Amanda Marie Leach, MSN, RN, CPNP 31001 Bramley Cir, New Hudson, MI 48165-9647 Ph: (586) 557-5570 | Mrs Amanda Marie Leach, MSN, RN, CPNP 31001 Bramley Cir, New Hudson, MI 48165-9647 Ph: (586) 557-5570 |
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