DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS AMANDA M LEISURE, CPNP-AC/PC

Active

MISS AMANDA M LEISURE, CPNP-AC/PC is a Pediatric Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1154872653 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1154872653
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2016 (9.7775399107185 yrs)
Last Updated
Oct 10, 2022
License
71006767 (IN)

Practice Information

Address
11141 PARKVIEW PLAZA DR STE 210
FORT WAYNE, IN, 468451714
Browse IN providers · Browse ZIP 46845
Phone
2602665400
Fax
2602665409
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in FORT WAYNE, IN

Name Credential NPI
MRS. MARY EMILY TITCOMB PNP 1205940442
MS. DIANA L CASE APRN, BC 1972790608
ANGELA D SCHEID PNP 1508299751
BERNITA FLYE 1710396940
LISA MOELLERING RN, CPNP-PC 1992166490
MIKALA SCHMIDT NP 1083266852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.