Provider Demographics
NPI:1760204598
Name:LEITCH, SHERRY LYNNE (ARNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LYNNE
Last Name:LEITCH
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 63RD ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-2333
Mailing Address - Country:US
Mailing Address - Phone:515-689-1465
Mailing Address - Fax:
Practice Address - Street 1:1069 63RD ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-2333
Practice Address - Country:US
Practice Address - Phone:515-689-1465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA182085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine