Provider Demographics
NPI:1437433794
Name:ROSE, LEIGH SCHMERSAHL (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:SCHMERSAHL
Last Name:ROSE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANNE
Other - Last Name:SCHMERSAHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:831 E MOREHEAD ST STE 900
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2726
Mailing Address - Country:US
Mailing Address - Phone:704-333-5575
Mailing Address - Fax:704-943-9121
Practice Address - Street 1:3915 W MORRIS ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46241-2619
Practice Address - Country:US
Practice Address - Phone:704-333-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010288A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health