Provider Demographics
NPI:1720450026
Name:LEPPER, ELIZABETH ANN (APN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:LEPPER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5419 COUNTY ROAD 427
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-9504
Mailing Address - Country:US
Mailing Address - Phone:260-333-5105
Mailing Address - Fax:260-333-0036
Practice Address - Street 1:5419 COUNTY ROAD 427
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-9504
Practice Address - Country:US
Practice Address - Phone:260-333-5105
Practice Address - Fax:260-333-0036
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013297363LF0000X
IN71012695A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily