Provider Demographics
NPI:1265648760
Name:LEIKER, MARIE ELIZABETH (CFNP)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ELIZABETH
Last Name:LEIKER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1886 250TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9458
Mailing Address - Country:US
Mailing Address - Phone:785-625-6041
Mailing Address - Fax:
Practice Address - Street 1:1886 250TH AVE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-9458
Practice Address - Country:US
Practice Address - Phone:785-625-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44071363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health