MEDICARE: ROBIN E LEAP CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	TP005952W	PA

General Provider Information

NPI Number	:	1063778603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN E LEAP CRNP

Provider Business Mailing Address
First Line	:	156 TURNPIKE RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-2542
Country	:	US
Telephone Number	:	412-521-2857
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 BESSEMER RD
Second Line	:	STE 100
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:	724-542-4296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	04/09/2012

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