Gwen Elizabeth Leake, is a
Clinical Nurse Specialist - Holistic based in Sapulpa, Oklahoma. Gwen Elizabeth Leake is licensed to practice in Oklahoma (license number NA) and her current practice location is
425 N Brown St, Sapulpa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 367-8316.
NPI number for Gwen Elizabeth Leake is 1407689862 and her current mailing address is 425 N Brown St, Sapulpa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407689862.
Provider's Profile
| Full Name | Gwen Elizabeth Leake |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Holistic |
|---|
| Location | 425 N Brown St, Sapulpa, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407689862
- Provider Enumeration Date: 08/21/2024
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Gwen Elizabeth Leake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407689862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SH1100X | Clinical Nurse Specialist - Holistic | NA (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwen Elizabeth Leake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gwen Elizabeth Leake,
425 N Brown St,
Sapulpa, OK 74066-3260
Ph: (918) 367-8316 | Gwen Elizabeth Leake,
425 N Brown St,
Sapulpa, OK 74066-3260
Ph: (918) 367-8316 |
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