Provider Demographics
NPI:1205309234
Name:LEONE, HEATHER RENEE (FNP-C)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:RENEE
Last Name:LEONE
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:RENEE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6084
Mailing Address - Country:US
Mailing Address - Phone:636-456-6103
Mailing Address - Fax:636-456-6124
Practice Address - Street 1:521 ANWIJO WAY
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383-1388
Practice Address - Country:US
Practice Address - Phone:636-456-6103
Practice Address - Fax:636-456-6124
Is Sole Proprietor?:No
Enumeration Date:2019-01-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018043927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily