Provider Demographics
NPI:1407400278
Name:LEONARD, HEATHER ELAINE (CRNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELAINE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1344
Mailing Address - Country:US
Mailing Address - Phone:717-786-7383
Mailing Address - Fax:717-786-8635
Practice Address - Street 1:317 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1344
Practice Address - Country:US
Practice Address - Phone:717-786-7383
Practice Address - Fax:717-786-8635
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020503207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine