Provider Demographics
NPI:1831660299
Name:LEONARD, PAULA LEE
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:LEE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 OLD STILLHOUSE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CRANE
Mailing Address - State:MO
Mailing Address - Zip Code:65633-7237
Mailing Address - Country:US
Mailing Address - Phone:417-369-0060
Mailing Address - Fax:
Practice Address - Street 1:214 OLD STILLHOUSE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CRANE
Practice Address - State:MO
Practice Address - Zip Code:65633-7237
Practice Address - Country:US
Practice Address - Phone:417-880-5904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide
No385H00000XRespite Care FacilityRespite Care