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NPI Code Detail

MEDICARE: SHANA LEONOVICH MSN, RN, CEN

MEDICARE: SHANA LEONOVICH MSN, RN, CEN
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
1163W00000XRegistered NurseRN652953PA

General Provider Information

NPI Number : 1629936935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA LEONOVICH MSN, RN, CEN
Provider Business Mailing Address
First Line : 1142 AQUILLA DR
Second Line :
City : LANCASTER
State : PA
Zip : 17601-1544
Country : US
Telephone Number : 717-490-1412
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-5704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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