Provider Demographics
NPI:1134539257
Name:HOLDEN, LEAH MEGHAN (NP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MEGHAN
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MEGHAN
Other - Last Name:STEIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7377 HIGHWAY 43
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35634-4223
Mailing Address - Country:US
Mailing Address - Phone:931-242-9905
Mailing Address - Fax:256-757-0197
Practice Address - Street 1:7377 HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35634-4223
Practice Address - Country:US
Practice Address - Phone:256-757-0194
Practice Address - Fax:256-757-0197
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-113234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty