Provider Demographics
NPI:1083086110
Name:FINCH, LEAH DANIELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:DANIELLE
Last Name:FINCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6582 BENNELL DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3906
Mailing Address - Country:US
Mailing Address - Phone:614-218-6519
Mailing Address - Fax:
Practice Address - Street 1:6300 MARSHALL BAY CIR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9368
Practice Address - Country:US
Practice Address - Phone:614-218-6519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH419793163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse