Provider Demographics
NPI:1497384754
Name:HESTER, LEAH CANNADY (PA-C)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:CANNADY
Last Name:HESTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CATHEDRAL ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2789
Mailing Address - Country:US
Mailing Address - Phone:270-945-5053
Mailing Address - Fax:
Practice Address - Street 1:1833 FOREST DR STE A
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4580
Practice Address - Country:US
Practice Address - Phone:410-216-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant