MEDICARE: LEAH FICHERA 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	083251-23	NH

General Provider Information

NPI Number	:	1164098695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH FICHERA NP

Provider Business Mailing Address
First Line	:	1883 W ROYAL HUNTE DR STE 200A
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-4000
Country	:	US
Telephone Number	:
Fax Number	:	339-205-3501

Provider Business Practice Location Address
First Line	:	1883 W ROYAL HUNTE DR STE 200A
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-4000
Country	:	US
Telephone Number	:	603-434-1577
Fax Number	:	339-205-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	08/11/2025

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