Bronc Skyler Leach
Bronc Skyler Leach is a Nurse Practitioner in Gilroy, California. Qualified in 2023, 3 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 3
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
915 Fillippelli DrGilroy, CA 95020-3930
Phone: (417) 389-2376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95025970 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 775283 (CA) |
Record details
| NPI number | 1346929619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2023 |
| Last updated in NPPES | July 14, 2023 |
| Certification date | July 3, 2023 |
| Mailing address | 915 Fillippelli Dr, Gilroy, CA 95020-3930 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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