Provider Demographics
NPI:1831466929
Name:PRITCHETT, LEEANN MICHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:LEEANN
Middle Name:MICHELLE
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4576 MANDEVILLE CT
Mailing Address - Street 2:APT D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5712
Mailing Address - Country:US
Mailing Address - Phone:614-599-0119
Mailing Address - Fax:
Practice Address - Street 1:4576 MANDEVILLE CT
Practice Address - Street 2:APT D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5712
Practice Address - Country:US
Practice Address - Phone:614-599-0119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146072164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse