Provider Demographics
NPI:1356896989
Name:LEONARD, CAROLYN SCHMUTZ (NP)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:SCHMUTZ
Last Name:LEONARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:JOANNE
Other - Last Name:SCHMUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:301 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29672-9491
Mailing Address - Country:US
Mailing Address - Phone:864-882-4664
Mailing Address - Fax:864-882-4478
Practice Address - Street 1:301 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-9491
Practice Address - Country:US
Practice Address - Phone:864-882-4664
Practice Address - Fax:864-882-4478
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily