Healthcare Provider Details

I. General information

NPI: 1477496602
Provider Name (Legal Business Name): EMIY LEININGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10845 PARK DR
HARRISON OH
45030-7000
US

IV. Provider business mailing address

10845 PARK DR
HARRISON OH
45030-7000
US

V. Phone/Fax

Practice location:
  • Phone: 513-706-4151
  • Fax:
Mailing address:
  • Phone: 513-706-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0041968
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: