# NEW LEAF CENTERS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689095051
- **Authorized official:** CHERYL LANDWEHR (MANAGER)
- **Authorized official phone:** (952) 801-0415

## Contact information

- **Practice address:** 5000 W 36TH ST STE 205, ST LOUIS PARK, MN 55416-2760
- **Practice address phone:** (952) 807-0415
- **Practice address fax:** (952) 426-3032
- **Mailing address:** 5000 W 36TH ST STE 205, ST LOUIS PARK, MN 55416-2760
- **Mailing address phone:** (952) 807-0415
- **Mailing address fax:** (952) 426-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 1336125111 | MN | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014
