Individual provider · Type 1 NPI

Ivelisse E. Leonor, FAMILY NURSE PRACTIO

Family Nurse Practitioner · St. Joseph, MI

NPI number 1104146042 Active

Practice location

1234 Napier Ave
St. Joseph, MI 49085

Fax (269) 985-4523

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28162828A (IN)
Family Nurse Practitioner 363LF0000X71003297A (IN)
Family Nurse Practitioner Primary 363LF0000X4704291709 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1104146042

Ivelisse E. Leonor, FAMILY NURSE PRACTIO's National Provider Identifier is 1104146042, issued on Jun 2, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Joseph, MI. The record was last updated on Aug 1, 2018.