Individual
LESLIE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8170 OLD CARRIAGE CT STE 100, SHAKOPEE, MN 55379-3164
(952) 428-3600
(952) 428-3636
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9960
MN
Other
Enumeration date
03/24/2023
Last updated
09/11/2024
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