Individual provider · Type 1 NPI

Leasa Ann Burch

Licensed Practical Nurse · Colonie, NY

NPI number 1114894912 Active

Practice location

159 Wolf Rd
Colonie, NY 12205-6007

Mailing address

399 Ontario St Fl 1
Albany, NY 12208-2909

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X354144 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114894912

Leasa Ann Burch's National Provider Identifier is 1114894912, issued on Oct 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Colonie, NY. The record was last updated on Oct 17, 2025.