Individual provider · Type 1 NPI

Amanda M. Leisure, CPNP-AC/PC

Pediatric Nurse Practitioner · Fort Wayne, IN

NPI number 1154872653 Active

Practice location

11141 Parkview Plaza Dr Ste 210
Fort Wayne, IN 46845-1714

Call (260) 266-5400 Map

Fax (260) 266-5409

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71006767 (IN)

Pediatric Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1154872653

Amanda M. Leisure, CPNP-AC/PC's National Provider Identifier is 1154872653, issued on Oct 19, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 10, 2022.