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NPI Code Detail

MEDICARE: ANN L LEAL NP

MEDICARE: ANN L LEAL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner123505MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1402778OTHERMABCBSRIBLUECHIP
2NP1039OTHERMABCBCMA
3000000044636OTHERMABMC
423361-1OTHERMABCBSRI
542221OTHERMACHILDRENSMEDSECURITY
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
70022515OTHERMANEIGHBORHOOD HEALTH PLAN

General Provider Information

NPI Number : 1154326809
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN L LEAL NP
Provider Business Mailing Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-6232
Country : US
Telephone Number : 508-992-6553
Fax Number : 508-990-7558
Provider Business Practice Location Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-6232
Country : US
Telephone Number : 508-992-6553
Fax Number : 508-990-7558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2005
Last Update Date : 01/25/2008

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Directions to “ ANN L LEAL NP” Practice Location

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