Provider Demographics
NPI:1679321475
Name:LEANZA, YVONNE M
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:LEANZA
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 1:37877 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-1087
Mailing Address - Country:US
Mailing Address - Phone:216-618-6319
Mailing Address - Fax:
Practice Address - Street 1:37877 AVALON DR
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-1087
Practice Address - Country:US
Practice Address - Phone:216-618-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide