Mrs Katie Leonard, NP | |
22101 Moross Rd, Detroit, MI 48236-2148 | |
(313) 343-6826 | |
Not Available |
Full Name | Mrs Katie Leonard |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 22101 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447571617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 4704261282 (Michigan) | Primary |
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700831500 PECOS PAC ID: 3173424082 Enrollment ID: O20040223000461 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katie Leonard, NP 56299 Fairchild Rd, Macomb, MI 48042-1515 Ph: () - | Mrs Katie Leonard, NP 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-6826 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
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