Provider Demographics
NPI:1629369673
Name:LEEPER, MARCHELLE LYNN (CRNP)
Entity type:Individual
Prefix:
First Name:MARCHELLE
Middle Name:LYNN
Last Name:LEEPER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARCHELLE
Other - Middle Name:LYNN
Other - Last Name:GALLEGOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 ALLEGHENY CTR FL 7
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6998 CRIDER RD STE 210
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2390
Practice Address - Country:US
Practice Address - Phone:724-741-0490
Practice Address - Fax:724-741-0496
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102636545Medicaid