MEDICARE: LEAH S CULLINS HARTFORD NP

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	363LF0000X	Family Nurse Practitioner	RN104218 AP05089	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265633465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH S CULLINS HARTFORD NP

Provider Business Mailing Address
First Line	:	8390 CHAMPIONS GATE BLVD
Second Line	:	SUITE 215
City	:	CHAMPIONS GATE
State	:	FL
Zip	:	33896-8310
Country	:	US
Telephone Number	:	407-390-1677
Fax Number	:	407-390-1765

Provider Business Practice Location Address
First Line	:	4890 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9644
Country	:	US
Telephone Number	:	225-769-3922
Fax Number	:	225-769-3933

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/27/2016

Similar Medicare Providers

1275925604 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

4890 BLUEBONNET BLVD
BATON ROUGE, LA
70809-9644

Practice Phone: 225-297-4430
Practice Fax: 225-297-4421

1467408492 — DR. WAREF AZMEH MD
Practice Location Address:

4890 BLUEBONNET BLVD
BATON ROUGE, LA
70809-9644

Practice Phone: 225-769-3922
Practice Fax: 225-769-3933

1841203114 — MEDISTAR HOME HEALTH OF BATON ROUGE LLC
Practice Location Address:

4860 BLUEBONNET BLVD
BATON ROUGE, LA
70809-9644

Practice Phone: 225-928-1666
Practice Fax: 225-928-1696

1437317260 — DR. ELIZABETH A CLUBB M.D.
Practice Location Address:

4864 BLUEBONNET BLVD , SUITE A
BATON ROUGE, LA
70809-9644

Practice Phone: 225-766-7771
Practice Fax: 225-766-7995

1548697865 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

4890 BLUEBONNET BLVD
BATON ROUGE, LA
70809-9644

Practice Phone: 323-436-5019
Practice Fax: 323-337-9142

1568088029 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

4890 BLUEBONNET BLVD
BATON ROUGE, LA
70809-9644

Practice Phone: 225-769-3922
Practice Fax: 225-769-3933

Directions to “ LEAH S CULLINS HARTFORD NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.