Provider Demographics
NPI:1598755704
Name:SIAKI, LEILANI ANA CRUZ LEON (NP)
Entity Type:Individual
Prefix:DR
First Name:LEILANI
Middle Name:ANA CRUZ LEON
Last Name:SIAKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:92-917 WELO ST APT 107
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1495
Mailing Address - Country:US
Mailing Address - Phone:253-968-2289
Mailing Address - Fax:253-968-5519
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-4372
Practice Address - Fax:808-433-2069
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN050699363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily