Individual
CHRISTINA JO LEICHTY MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-CPNP-PC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6419
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C119935
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C119935
IA
Other
Enumeration date
06/29/2016
Last updated
12/06/2019
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