Provider Demographics
NPI:1184847402
Name:LEONARDI, SANDRA M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:M
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11257 WOLF AVE NE
Mailing Address - Street 2:
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-8626
Mailing Address - Country:US
Mailing Address - Phone:330-418-0162
Mailing Address - Fax:
Practice Address - Street 1:11257 WOLF AVE NE
Practice Address - Street 2:
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-8626
Practice Address - Country:US
Practice Address - Phone:330-418-0162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20054568164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse