Provider Demographics
NPI:1508989401
Name:LEEF, KATHLEEN HAUTY (NNP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:HAUTY
Last Name:LEEF
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W SHETLAND CT
Mailing Address - Street 2:ABBOTSFORD
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-1502
Mailing Address - Country:US
Mailing Address - Phone:302-733-2400
Mailing Address - Fax:302-733-2396
Practice Address - Street 1:106 W SHETLAND CT
Practice Address - Street 2:ABBOTSFORD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-1502
Practice Address - Country:US
Practice Address - Phone:302-733-2400
Practice Address - Fax:302-733-2396
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELM0000133363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care