Provider Demographics
NPI:1649539701
Name:YUREK, LEAH (MSN FNP-C)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:YUREK
Suffix:
Gender:
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:967 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4515
Mailing Address - Country:US
Mailing Address - Phone:831-239-0393
Mailing Address - Fax:
Practice Address - Street 1:967 4TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4515
Practice Address - Country:US
Practice Address - Phone:831-239-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21583363LF0000X
CANP21583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily