Provider Demographics
NPI:1043818669
Name:ECK, LEAH (ARNP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:ECK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PERSIA
Mailing Address - State:IA
Mailing Address - Zip Code:51563-5100
Mailing Address - Country:US
Mailing Address - Phone:402-215-4638
Mailing Address - Fax:
Practice Address - Street 1:566 DOGWOOD RD
Practice Address - Street 2:
Practice Address - City:PERSIA
Practice Address - State:IA
Practice Address - Zip Code:51563-5100
Practice Address - Country:US
Practice Address - Phone:402-215-4638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA161047207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine