IndividualActive
Gwen Leake
NPI 1407689862 · Holistic Clinical Nurse Specialist · Sapulpa, OK
Provider details
- NPI number
- 1407689862
- Entity type
- Individual
- Primary specialty
- Holistic Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NA (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
425 N Brown St
Sapulpa, OK 74066-3260
Phone: (918) 367-8316
Approximate (ZIP-level) locationGet directions
Mailing address
425 N Brown St
Sapulpa, OK 74066-3260
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.