Provider Demographics
NPI:1932542966
Name:CARTWRIGHT, LEANDRA ROSE
Entity Type:Individual
Prefix:
First Name:LEANDRA
Middle Name:ROSE
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 COTTAGE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1349
Mailing Address - Country:US
Mailing Address - Phone:775-835-2570
Mailing Address - Fax:
Practice Address - Street 1:2315 COTTAGE CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1349
Practice Address - Country:US
Practice Address - Phone:775-835-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder