Physician Compare National (NPI:1720325830)

HEALTHCARE PROVIDER: LUISA FERNANDA LEAL APRN-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720325830
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789829029
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130314000442
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEAL
	Individual professional last name
Provider First Name	LUISA
	Individual professional first name
Provider Middle Name	FERNANDA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	390 HARDING PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	NASHVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	372113924
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y