Provider / Organization | NPI | Date Certified |
---|---|---|
KATHERINE LEONIS | 1003415647 | 2020-10-24 |
Katherine Leonis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003415647. Registration indicates Katherine Leonis is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Katherine Leonis RN |
Practice Office Address | 200 BEATTY ST MEDFORD, OR US |
Practice Office Telephone | 5414762373 |
Mailing Address | 1215 SW G ST GRANTS PASS, OR 975262544 US |
Business Telephone | 5414762373 |
Code | Practice | License No State |
---|---|---|
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 092007052RN
PA |