Provider Demographics
NPI:1437911740
Name:AGAL, LEYLA OSMAN (NURSE AIDE)
Entity Type:Individual
Prefix:
First Name:LEYLA
Middle Name:OSMAN
Last Name:AGAL
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 EDDINGTON DR APT D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2976
Mailing Address - Country:US
Mailing Address - Phone:615-705-4424
Mailing Address - Fax:
Practice Address - Street 1:2052 EDDINGTON DR APT D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-2976
Practice Address - Country:US
Practice Address - Phone:615-705-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602603430523376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide