Provider Demographics
NPI:1043931413
Name:ADAMCZYK, LEIGH ANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ANNE
Last Name:ADAMCZYK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LEIGH
Other - Middle Name:ANNE
Other - Last Name:GOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1009 AURORA HILL DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202
Mailing Address - Country:US
Mailing Address - Phone:330-283-2394
Mailing Address - Fax:
Practice Address - Street 1:1009 AURORA HILL DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202
Practice Address - Country:US
Practice Address - Phone:330-283-2394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-130588163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse