Provider Demographics
NPI:1093235392
Name:BELTRAN, LEANNE (LPN)
Entity type:Individual
Prefix:
First Name:LEANNE
Middle Name:
Last Name:BELTRAN
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:
Other - Last Name:RADAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8225 W SAHARA AVE STE C-1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8962
Mailing Address - Country:US
Mailing Address - Phone:702-684-5830
Mailing Address - Fax:
Practice Address - Street 1:8225 W SAHARA AVE STE C-1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8962
Practice Address - Country:US
Practice Address - Phone:702-684-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health