Provider Demographics
NPI:1063229961
Name:STRACHAN, LEISY (APRN)
Entity type:Individual
Prefix:
First Name:LEISY
Middle Name:
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10271 SW 72ND ST STE D-102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3024
Mailing Address - Country:US
Mailing Address - Phone:305-239-3662
Mailing Address - Fax:305-928-8846
Practice Address - Street 1:10271 SW 72ND ST STE D-102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3024
Practice Address - Country:US
Practice Address - Phone:305-239-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF12240310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily