Provider Demographics
NPI:1366279499
Name:LEIGH, RACHEL ANN
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ANN
Last Name:LEIGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 21ST ST SE APT 120
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-6475
Mailing Address - Country:US
Mailing Address - Phone:701-595-4219
Mailing Address - Fax:
Practice Address - Street 1:4430 21ST ST SE APT 120
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-6475
Practice Address - Country:US
Practice Address - Phone:701-595-4219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion