Pittman-Leyendecker, Michelle P

Pittman-Leyendecker, Michelle P is an individual health care provider with primary practice located at 4801 Veterans Dr , Saint Cloud MN 56303-2015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Pittman-Leyendecker, Michelle P can be contacted via phone (320) 252-1670.

Contact Information

Primary practice address
4801 Veterans Dr Saint Cloud MN 56303-2015
Phone: (320) 252-1670
Fax: (320) 255-6426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0952637 Minnesota

Profile Details

NPI number 1780675629
LBN Legal business name Pittman-Leyendecker, Michelle P
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780675629 NPPES
Other 0704160 MEDICA HEALTH PLANS
Other 1042819 MEDICA HEALTH PLANS
Other 078430300 MEDICA HEALTH PLANS
Other 113181 MEDICA HEALTH PLANS
Other 950S2P1 MEDICA HEALTH PLANS
Other 2210957 MEDICA HEALTH PLANS
Other HP47689 MEDICA HEALTH PLANS

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