Provider Demographics
NPI:1063139087
Name:LEAKE, SILVIA ANN (NP)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:ANN
Last Name:LEAKE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:ANN
Other - Last Name:MINNIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:49 NIKKI CT
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943-6617
Mailing Address - Country:US
Mailing Address - Phone:302-222-6121
Mailing Address - Fax:
Practice Address - Street 1:701 N DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1003
Practice Address - Country:US
Practice Address - Phone:302-725-3420
Practice Address - Fax:302-725-3430
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012108363LF0000X
DEL1-0031858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse