Provider Demographics
NPI:1811969025
Name:MCGEE, LEAH ANNE (RN, CFNP)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:ANNE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:RN, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 39TH ST
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-4600
Mailing Address - Country:US
Mailing Address - Phone:409-962-8509
Mailing Address - Fax:409-962-0763
Practice Address - Street 1:3758 PARK PLAZA CIRCLE
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5205
Practice Address - Country:US
Practice Address - Phone:409-983-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041476502Medicaid
TX041476502Medicaid
TX82N522Medicare ID - Type Unspecified