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NPI Code Detail

MEDICARE: KATRINA NICOLE LEYDEN NP

MEDICARE:   KATRINA NICOLE LEYDEN  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
1363LA2100XAcute Care Nurse Practitioner647148TX
2363L00000XNurse Practitioner647148TX

General Provider Information

NPI Number : 1750318549
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA NICOLE LEYDEN NP
Provider Business Mailing Address
First Line : PO BOX 5358
Second Line :
City : NORMAN
State : OK
Zip : 73070-5358
Country : US
Telephone Number : 866-321-8433
Fax Number :
Provider Business Practice Location Address
First Line : 710 FM 1960 RD W
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3402
Country : US
Telephone Number : 281-440-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 09/04/2012

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Directions to “ KATRINA NICOLE LEYDEN NP” Practice Location

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