Provider Demographics
NPI:1073954376
Name:DOBBS, LEIGH ELLEN LARKIN (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ELLEN LARKIN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1218
Mailing Address - Country:US
Mailing Address - Phone:617-936-0513
Mailing Address - Fax:888-463-8156
Practice Address - Street 1:80 SUMMER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1218
Practice Address - Country:US
Practice Address - Phone:617-936-0513
Practice Address - Fax:888-463-8156
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023671363LF0000X
NY351681363LF0000X
TX1100877363LF0000X
CA95024749363LF0000X
MARN2269914363LF0000X
RIAPRN00559363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily