Provider Demographics
NPI:1790789469
Name:WHYTE, LEANN K (CRNP)
Entity Type:Individual
Prefix:
First Name:LEANN
Middle Name:K
Last Name:WHYTE
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:2215 E WATERLOO RD
Mailing Address - Street 2:STE 313
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3856
Mailing Address - Country:US
Mailing Address - Phone:330-208-2720
Mailing Address - Fax:330-208-2721
Practice Address - Street 1:3535 S SMITH RD
Practice Address - Street 2:STE A
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-9270
Practice Address - Country:US
Practice Address - Phone:330-945-7246
Practice Address - Fax:330-945-9920
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHNP06868363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2406275Medicaid
OHWHNP12991Medicare PIN
OHP88268Medicare UPIN