IndividualActive
Christian Leathley, FNP-C
NPI 1699453407 · Nurse Practitioner · South Portland, ME
Provider details
- NPI number
- 1699453407
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- CNP231283 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
45 Chapel St
South Portland, ME 04106-2716
Phone: (734) 776-2425
Approximate (ZIP-level) locationGet directions
Mailing address
45 Chapel St
South Portland, ME 04106-2716
Registry dates
- Enumerated
- 2023-07-11
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.