Provider Demographics
NPI:1871938480
Name:LEONHARDT, RIANA SOPHIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:RIANA
Middle Name:SOPHIA
Last Name:LEONHARDT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5000
Mailing Address - Country:US
Mailing Address - Phone:612-632-6906
Mailing Address - Fax:855-810-6183
Practice Address - Street 1:5757 PLAZA DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5000
Practice Address - Country:US
Practice Address - Phone:612-632-6906
Practice Address - Fax:855-810-6183
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA758677163WP0200X
TXAP128174363LF0000X
NMCNP-02300363LF0000X
NVAPRN002378363LF0000X
CA23750363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics