Provider Demographics
NPI:1164098695
Name:FICHERA, LEAH (NP)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:FICHERA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 W ROYAL HUNTE DR STE 200A
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-4000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:339-205-3501
Practice Address - Street 1:1883 W ROYAL HUNTE DR STE 200A
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-4000
Practice Address - Country:US
Practice Address - Phone:603-434-1577
Practice Address - Fax:339-205-3501
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH083251-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty