Healthcare Provider Details

I. General information

NPI: 1346509882
Provider Name (Legal Business Name): KRISTEN L. LEFFEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN L NEUENSCHWANDER

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 W JEFFERSON BLVD
FORT WAYNE IN
46804-4133
US

IV. Provider business mailing address

7601 W JEFFERSON BLVD STE 150
FORT WAYNE IN
46804-4133
US

V. Phone/Fax

Practice location:
  • Phone: 260-436-8686
  • Fax: 260-436-8585
Mailing address:
  • Phone: 800-566-5659
  • Fax: 260-436-8585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71004041A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004041A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: