Provider Demographics
NPI:1437982386
Name:OGDEN-FUENTES, LEANDRA (MSN, APRN, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:LEANDRA
Middle Name:
Last Name:OGDEN-FUENTES
Suffix:
Gender:F
Credentials:MSN, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16320 SW 71ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4499
Mailing Address - Country:US
Mailing Address - Phone:305-951-2444
Mailing Address - Fax:
Practice Address - Street 1:16320 SW 71ST TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-4499
Practice Address - Country:US
Practice Address - Phone:305-951-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9250908363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner