Provider Demographics
NPI:1255040119
Name:LEACH, WEEADA Y (RNC, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:WEEADA
Middle Name:Y
Last Name:LEACH
Suffix:
Gender:F
Credentials:RNC, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BROKEN TEE LN
Mailing Address - Street 2:
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8726
Mailing Address - Country:US
Mailing Address - Phone:850-842-8129
Mailing Address - Fax:
Practice Address - Street 1:2350 MEADOWS BLVD STE 240B
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8405
Practice Address - Country:US
Practice Address - Phone:303-795-3110
Practice Address - Fax:303-649-3381
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001298459163WX0003X
VA0024185454363LW0102X
CORN.1692770163WX0003X
COAPN.0999198-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient