Provider Demographics
NPI:1225998263
Name:SAVAGE, LEONA GRACE
Entity type:Individual
Prefix:
First Name:LEONA
Middle Name:GRACE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 ALIYAH RD SPC 3
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-5100
Mailing Address - Country:US
Mailing Address - Phone:575-680-8471
Mailing Address - Fax:
Practice Address - Street 1:832 ALIYAH RD SPC 3
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-5100
Practice Address - Country:US
Practice Address - Phone:575-680-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM25051D374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula