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Individual
MRS. CRYSTAL DAWN LEIS
Active
Individual
MRS. CRYSTAL DAWN LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
78446
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
78446
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004782530001
—
KS
Enumeration date
10/22/2018
Last updated
09/07/2026
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