Provider Demographics
NPI:1720466600
Name:FISHBEIN, LEAH D (ARNP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:D
Last Name:FISHBEIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:R
Other - Last Name:DANNHEISSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:8333 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6050
Mailing Address - Country:US
Mailing Address - Phone:850-474-8386
Mailing Address - Fax:850-474-8522
Practice Address - Street 1:8333 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6050
Practice Address - Country:US
Practice Address - Phone:850-474-8386
Practice Address - Fax:850-474-8522
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310254363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner