Provider Demographics
NPI:1972164218
Name:SPRING, LEANNE ELIZABETH (CNP)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:ELIZABETH
Last Name:SPRING
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:LEANNE
Other - Middle Name:ELIZABETH
Other - Last Name:REICHERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 ASH ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1542
Mailing Address - Country:US
Mailing Address - Phone:937-407-5595
Mailing Address - Fax:
Practice Address - Street 1:212 E COLUMBUS AVE STE 1
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2033
Practice Address - Country:US
Practice Address - Phone:937-633-0071
Practice Address - Fax:937-842-2375
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.024703OtherOHIO BOARD OF NURSING