| Nicole Leach, APRN | |
|
9910 S Santa Fe Ave, Trenton, FL 32693-2624 | |
| (352) 215-1091 | |
| (352) 741-5750 |
| Full Name | Nicole Leach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9910 S Santa Fe Ave, Trenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780366740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9341468 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11028993 (Florida) | Primary |
| Entity Name | Trenton Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Leach, APRN 9910 S Santa Fe Ave, Trenton, FL 32693-2624 Ph: (352) 215-1091 | Nicole Leach, APRN 9910 S Santa Fe Ave, Trenton, FL 32693-2624 Ph: (352) 215-1091 |
Ms. Jennifer Leigh Banner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Se 3rd St, Trenton, FL 32693 Phone: 352-577-5252 Fax: 888-522-4631 | |
Maria Savvina E Pantelis, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-2374 Fax: 352-463-2726 | |
Pamela Lynne Carroll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 385-487-0064 | |
Nancy G. Rowell-crane, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Se 3rd St, Trenton, FL 32693 Phone: 352-577-5252 Fax: 352-329-4313 | |
Kenneth Smith, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6480 Se 55th St, Trenton, FL 32693 Phone: 352-284-5151 | |
Peggy Ladd, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 S Main St, Trenton, FL 32693 Phone: 352-463-6292 Fax: 352-463-4507 | |
Cathy Cassube Underhill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-2374 Fax: 352-463-4507 |