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Constance Lee Ballem Leach, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1548280381

Constance Lee Ballem Leach is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Constance Lee Ballem Leach practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Constance Lee Ballem Leach is 1548280381 and holds a License No. SP007552 (Pennsylvania).

The current practice location address for Constance Lee Ballem Leach is 850 N 11Th St, Philadelphia, PA and can be reached out via phone at 215-769-1100.

Location: 850 N 11Th St, Philadelphia, PA, 19125-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548280381
Provider Name
Constance Lee Ballem Leach
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
850 N 11Th St, Philadelphia, PA, 19125-1011
Phone Number
215-769-1100
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
850 N 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19123-1957
Phone Number
215-769-1100
Fax Number
person
Provider Business Mailing Address Details
Address
850 N 11Th St
City
Philadelphia
State
Pennsylvania
Zip
19123-1957
Phone Number
215-769-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP007552 (Pennsylvania)
Definition
Definition to come...
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