Vashtie Leonard, DNP | |
1210 Provident Dr, Warsaw, IN 46580-3376 | |
(574) 268-4300 | |
(260) 479-2934 |
Full Name | Vashtie Leonard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1210 Provident Dr, Warsaw, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730871146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71013918A (Indiana) | Primary |
Entity Name | Kosciusko Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
Mailing Address | Practice Location Address |
---|---|
Vashtie Leonard, DNP 529 Maple Row, Elkhart, IN 46514-2636 Ph: (574) 612-3937 | Vashtie Leonard, DNP 1210 Provident Dr, Warsaw, IN 46580-3376 Ph: (574) 268-4300 |
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Provident Dr, Warsaw, IN 46580 Phone: 574-372-3800 Fax: 574-372-5823 | |
Sara M. Vanlaningham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2235 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-8189 Fax: 574-267-7554 | |
Dr. Amy Deion Stitt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Scott St, Warsaw, IN 46580 Phone: 765-425-5576 | |
Alissa Whittaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-371-9550 Fax: 574-376-4793 | |
Tara Janae Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8383 Fax: 260-479-2911 | |
Mrs. Candace G Lemke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 N Harrison St, Warsaw, IN 46580 Phone: 574-267-1700 | |
Kayla R Cottrill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134 |