Leonard, Alice W.

Leonard, Alice W. is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leonard, Alice W. can be contacted via phone (985) 873-1730.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Fax: (985) 851-0053
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07254 Louisiana

Profile Details

NPI number 1093058521
LBN Legal business name Leonard, Alice W.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Jul 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093058521 NPPES
Louisiana MEDICAID 2880586

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