Provider Demographics
NPI:1558163436
Name:NAGLE, LEAH MARIE (RN)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:NAGLE
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MARIE
Other - Last Name:NAGLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:631 ROUTE 47 N
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1321
Mailing Address - Country:US
Mailing Address - Phone:609-435-4854
Mailing Address - Fax:
Practice Address - Street 1:65 W JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240-9102
Practice Address - Country:US
Practice Address - Phone:609-435-4854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR22907400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse