Healthcare Provider Details

I. General information

NPI: 1447877956
Provider Name (Legal Business Name): SEAN PATRICK LEEHAN CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL BLVD
CANONSBURG PA
15317-9762
US

IV. Provider business mailing address

100 MEDICAL BLVD
CANONSBURG PA
15317-9762
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3030
  • Fax: 412-359-3060
Mailing address:
  • Phone: 412-359-3030
  • Fax: 412-359-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberNUR-APRN-LIC-290572
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN694917
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP024057
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP024057
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: