Provider Demographics
NPI:1538135439
Name:LEONARD, CATHERINE M (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:LEONARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:KATHY
Other - Middle Name:M
Other - Last Name:LEONARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:312 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-1992
Mailing Address - Country:US
Mailing Address - Phone:641-753-3313
Mailing Address - Fax:641-753-8146
Practice Address - Street 1:312 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1992
Practice Address - Country:US
Practice Address - Phone:641-753-3313
Practice Address - Fax:641-753-8146
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-051981363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI16531Medicare ID - Type Unspecified
IAP83631Medicare UPIN