Individual provider · Type 1 NPI

Ellen R. Leichert, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Bay Pines, FL

NPI number 1508686965 Active

Practice location

10000 Bay Pines Boulevard
Bay Pines, FL 33744-8200

Mailing address

10006 Bentley Way
Tampa, FL 33626-5141

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11034247 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508686965

Ellen R. Leichert, PMHNP's National Provider Identifier is 1508686965, issued on Oct 11, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bay Pines, FL. The record was last updated on Oct 19, 2024.