Healthcare Provider Details

I. General information

NPI: 1821665167
Provider Name (Legal Business Name): LEIGHANN KRENZ MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date: 07/12/2021
Reactivation Date: 02/11/2022

III. Provider practice location address

18101 LORAIN AVE
CLEVELAND OH
44111-5612
US

IV. Provider business mailing address

18101 LORAIN AVE
CLEVELAND OH
44111-5612
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-7000
  • Fax:
Mailing address:
  • Phone: 216-476-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0029026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: