Provider Demographics
NPI:1033662606
Name:LEON, LEENA KUNWAR (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LEENA
Middle Name:KUNWAR
Last Name:LEON
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:2602 WESTRIDGE AVE W
Mailing Address - Street 2:APT P304
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98466-1881
Mailing Address - Country:US
Mailing Address - Phone:701-373-5419
Mailing Address - Fax:
Practice Address - Street 1:2602 WESTRIDGE AVE W
Practice Address - Street 2:APT P304
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98466-1881
Practice Address - Country:US
Practice Address - Phone:701-373-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2019034020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner