Provider Demographics
NPI:1265879241
Name:LEININGEN, CHERYL ANN (DNP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:LEININGEN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
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Mailing Address - Street 1:35 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:PORT MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07758-1004
Mailing Address - Country:US
Mailing Address - Phone:732-740-9432
Mailing Address - Fax:732-787-9266
Practice Address - Street 1:615 HOPE RD STE 5
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1273
Practice Address - Country:US
Practice Address - Phone:732-571-1000
Practice Address - Fax:732-571-1156
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN09307800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health