Individual
LEANN CLARKSEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 122642-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634541700
—
MN
Enumeration date
10/11/2005
Last updated
04/29/2019
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