Provider Demographics
NPI:1932890639
Name:TANUI, LEAH CHEPKOSGEI (NP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:CHEPKOSGEI
Last Name:TANUI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3510
Mailing Address - Country:US
Mailing Address - Phone:302-897-5138
Mailing Address - Fax:
Practice Address - Street 1:105 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3510
Practice Address - Country:US
Practice Address - Phone:130-289-7513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010425363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health