MEDICARE: HEDY ELLIS LEITER 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	0041314	OH

General Provider Information

NPI Number	:	1528914199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEDY ELLIS LEITER NP

Provider Business Mailing Address
First Line	:	8787 BROOKPARK RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8787 BROOKPARK RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6809
Country	:	US
Telephone Number	:	216-739-7000
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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