Individual
MARJEAN DIANE LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
338 NEW BRIGHTON ROAD, APT, SUITE, BLDG. (OPTIONAL), NEW BRIGHTON, MN 55112
(612) 968-0135
Mailing address
338 NEW BRIGHTON ROAD, APT, SUITE, BLDG. (OPTIONAL), NEW BRIGHTON, MN 55112
(612) 968-0135
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R87853-3
MN
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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