Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN ELIZABETH LEAKE
ActiveHolistic Clinical Nurse Specialist · SAPULPA, OK
Registration Details
- NPI Number
- 1407689862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2024 (1.671546888562 yrs)
- Last Updated
- Aug 21, 2024
- License
-
NA (OK)
Practice Information
- Address
-
425 N BROWN STSAPULPA, OK, 740663260Browse OK providers · Browse ZIP 74066
- Phone
- 9183678316
- Primary Specialty
-
Holistic Clinical Nurse Specialist
364SH1100X
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.