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NPI Code Detail

MEDICARE: MELISSA N LEUENBERGER APRN

MEDICARE: MELISSA N LEUENBERGER APRN
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
1363LF0000XFamily Nurse Practitioner3003705KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6500024067OTHERRAILROAD MEDICARE
7P01320945OTHERKYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000853026OTHERKYANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000215836OTHERBLUE CROSS
41193300OTHERCHA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861433187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA N LEUENBERGER APRN
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : ASHLAND
State : KY
Zip : 41105-1595
Country : US
Telephone Number : 606-408-6200
Fax Number : 606-408-6612
Provider Business Practice Location Address
First Line : 391 W TOM T HALL BLVD
Second Line :
City : OLIVE HILL
State : KY
Zip : 41164-7688
Country : US
Telephone Number : 606-286-8039
Fax Number : 606-286-6108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 05/19/2015

Similar Medicare Providers

1093762619 — ASHLAND HOSPITAL CORPORATION
Practice Location Address:
391 W TOM T HALL BLVD
OLIVE HILL, KY
41164-7688
Practice Phone: 606-286-8039
Practice Fax: 606-286-6108
1891737144 — LESLIE GAY SLONE APRN
Practice Location Address:
391 W TOM T HALL BLVD
OLIVE HILL, KY
41164-7688
Practice Phone: 606-286-8039
Practice Fax: 606-286-6108
1134157852 — PAUL R LEWIS MD
Practice Location Address:
391 W TOM T HALL BLVD
OLIVE HILL, KY
41164-7688
Practice Phone: 606-286-8039
Practice Fax: 606-286-6108
1205214426 — TIMOTHY SCOTT HUFF
Practice Location Address:
391 W TOM T HALL BLVD
OLIVE HILL, KY
41164-7688
Practice Phone: 606-286-8039
Practice Fax: 606-286-6108
1861060576 — ALLIE CAUDILL
Practice Location Address:
391 W TOM T HALL BLVD
OLIVE HILL, KY
41164-7688
Practice Phone: 606-286-8039
Practice Fax: 606-286-6108
1881677136 — OVIDIU BRESCAN MD
Practice Location Address:
3804 CRANBROOK HILL ST
LAS VEGAS, NV
89129-7688
Practice Phone: 702-562-3590
Practice Fax: 702-364-9225

Directions to “ MELISSA N LEUENBERGER APRN” Practice Location

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