| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW JAMES LEIDEL | 1134722499 | 2022-12-03 |
Matthew James Leidel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134722499. Registration indicates Matthew James Leidel is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Nurse Practitioner: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Matthew James Leidel APRN |
| Practice Office Address | 1320 MERCY DR NW CANTON, OH US |
| Practice Office Telephone | 3304891000 |
| Mailing Address | 11469 WILLIAM PENN AVE NE HARTVILLE, OH 446329115 US |
| Code | Practice | License No State |
|---|---|---|
| 363LC0200X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Critical Care Medicine All Other Specialties & Provider Types Nurse Practitioner Critical Care Medicine Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN.399571
OH |