Provider Demographics
NPI:1982588778
Name:PRIANO, LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:PRIANO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:ANDOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 ROSEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9053
Mailing Address - Country:US
Mailing Address - Phone:740-974-9433
Mailing Address - Fax:
Practice Address - Street 1:63 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5005
Practice Address - Country:US
Practice Address - Phone:740-974-9433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.001786363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical