Provider Demographics
NPI:1336815174
Name:KONRADD, LEELA SCHAUNA (DNP-FNP)
Entity type:Individual
Prefix:
First Name:LEELA
Middle Name:SCHAUNA
Last Name:KONRADD
Suffix:
Gender:
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:SCHAUN
Other - Middle Name:DANIEL
Other - Last Name:KONRADD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP-FNP
Mailing Address - Street 1:1425 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1320 APPLE AVE STE 203
Practice Address - Street 2:
Practice Address - City:CHERRYLAND
Practice Address - State:CA
Practice Address - Zip Code:94541-1552
Practice Address - Country:US
Practice Address - Phone:510-470-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA809233163W00000X
390200000X
CA95032583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program