Provider Demographics
NPI:1386975126
Name:LEONARDI, CINDY MICHELLE (CRNA)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:MICHELLE
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:MICHELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2084 DEER CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5869
Mailing Address - Country:US
Mailing Address - Phone:216-392-8772
Mailing Address - Fax:
Practice Address - Street 1:2084 DEER CROSSING DR.
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241
Practice Address - Country:US
Practice Address - Phone:216-392-8772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016518367500000X
OHCOA.11251-NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3023070Medicaid
OHJO8246661Medicare UPIN