Provider Demographics
NPI:1215352737
Name:LEONARD, KIMBERLY ANN (CRNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:LEONARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 N HERMITAGE RD
Mailing Address - Street 2:WOMANCARE CENTER OF UPMC HORIZON
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3278
Mailing Address - Country:US
Mailing Address - Phone:724-347-4847
Mailing Address - Fax:724-347-4784
Practice Address - Street 1:875 N HERMITAGE RD
Practice Address - Street 2:SUITE # 2
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3278
Practice Address - Country:US
Practice Address - Phone:724-347-4847
Practice Address - Fax:724-347-4784
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006260B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily