Provider Demographics
NPI:1336590553
Name:MCALICHER, LEISA E (RN,MSN,CRNP)
Entity Type:Individual
Prefix:
First Name:LEISA
Middle Name:E
Last Name:MCALICHER
Suffix:
Gender:F
Credentials:RN,MSN,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 LOWER BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANNON
Mailing Address - State:PA
Mailing Address - Zip Code:17020-8907
Mailing Address - Country:US
Mailing Address - Phone:717-834-4281
Mailing Address - Fax:
Practice Address - Street 1:201 LOWER BAILEY RD
Practice Address - Street 2:
Practice Address - City:DUNCANNON
Practice Address - State:PA
Practice Address - Zip Code:17020-8907
Practice Address - Country:US
Practice Address - Phone:717-834-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004807B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily