person
Miss Amanda M Leisure, CPNP-AC/PC
Pediatric Nurse Practitioner in Fort Wayne, Indiana
NPI 1154872653

Amanda M Leisure is a Pediatric Nurse Practitioner based in Fort Wayne, IN and is specialized in Pediatrics. Amanda M Leisure practices in Fort Wayne, IN and has the professional credentials of CPNP-AC/PC. The NPI Number for Amanda M Leisure is 1154872653 and holds a License No. 71006767 (Indiana).

The current practice location address for Amanda M Leisure is 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN and can be reached out via phone at 260-266-5400 and via fax at 260-266-5409. You can also correspond with Amanda M Leisure through the mailing address at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN - 46845-1701 (mailing address contact number: ).

Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN, 46845-1701
person
Provider Profile Details
NPI Number
1154872653
Provider Name
Amanda M Leisure
Credential
CPNP-AC/PC
Provider Entity Type
Individual
Gender
Female
Address
11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN, 46845-1701
Phone Number
260-266-5400
Fax Number
260-266-5409
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11141 Parkview Plaza Dr Ste 210
City
State
Zip
46845-1714
Phone Number
260-266-5400
Fax Number
260-266-5409
person
Provider Business Mailing Address Details
Address
11141 Parkview Plaza Dr Ste 210
City
State
Zip
46845-1714
Phone Number
260-266-5400
Fax Number
260-266-5409
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
71006767 (Indiana)
Definition
Definition to come...
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