Provider Demographics
NPI:1043809692
Name:LEONE, GEORGINA (RN)
Entity type:Individual
Prefix:MRS
First Name:GEORGINA
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:GEORGINA
Other - Middle Name:
Other - Last Name:BOSDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 ANDREW WAY
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-4035
Mailing Address - Country:US
Mailing Address - Phone:207-858-5454
Mailing Address - Fax:
Practice Address - Street 1:26 ANDREW WAY
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-4035
Practice Address - Country:US
Practice Address - Phone:207-858-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN153379163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse