Provider Demographics
NPI:1740918606
Name:LENTINI, LEIGHA WEAVER (CRNP)
Entity type:Individual
Prefix:MRS
First Name:LEIGHA
Middle Name:WEAVER
Last Name:LENTINI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 COUNTY ROAD 819
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35057-2157
Mailing Address - Country:US
Mailing Address - Phone:256-736-4673
Mailing Address - Fax:
Practice Address - Street 1:1705 MAIN AVE SW STE B
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-7207
Practice Address - Country:US
Practice Address - Phone:256-965-0340
Practice Address - Fax:256-965-0341
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-157494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily