Provider Demographics
NPI:1679030142
Name:WARD, LEAH D (MSN, MA, A-GNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:D
Last Name:WARD
Suffix:
Gender:F
Credentials:MSN, MA, A-GNP-C
Other - Prefix:MRS
Other - First Name:LEAH
Other - Middle Name:D
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, MA, A-GNP-C
Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 PEARL ST FL 14
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06103-4500
Practice Address - Country:US
Practice Address - Phone:888-355-3902
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE61150363LA2200X
CT8117363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health