Provider Demographics
NPI:1407576481
Name:LEOPARDI, ISABELLA (BSN, RN, CCRN, SRNA)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:LEOPARDI
Suffix:
Gender:F
Credentials:BSN, RN, CCRN, SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1733
Mailing Address - Country:US
Mailing Address - Phone:313-658-9281
Mailing Address - Fax:
Practice Address - Street 1:566 MAPLE ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1733
Practice Address - Country:US
Practice Address - Phone:313-658-9281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704322224163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty