Provider Demographics
NPI:1437722782
Name:LEYKIND, ALSU (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ALSU
Middle Name:
Last Name:LEYKIND
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9950 STIRLING RD STE 108
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8001
Mailing Address - Country:US
Mailing Address - Phone:786-227-2624
Mailing Address - Fax:
Practice Address - Street 1:3505 S OCEAN DR APT 1417
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2820
Practice Address - Country:US
Practice Address - Phone:786-227-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9380154OtherFLORIDA BOARD OF NURSING, REGISTERED NURSE