Provider Demographics
NPI:1396764999
Name:LEONARD, JOANNA M (NP, MSN, RN)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:M
Last Name:LEONARD
Suffix:
Gender:F
Credentials:NP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 GUERRERO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2916
Mailing Address - Country:US
Mailing Address - Phone:415-509-1922
Mailing Address - Fax:
Practice Address - Street 1:50 LECH WALESA
Practice Address - Street 2:TOM WADDELL HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4506
Practice Address - Country:US
Practice Address - Phone:415-355-7400
Practice Address - Fax:415-355-7402
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN604909163WM0705X
CANP15578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily