Individual
NADINE JOANNE LEIBFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
1051 SUNDANCE FT, SAN ANTONIO, TX 78245-3389
(952) 288-8798
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
140538
TX
163WM0705X
Medical-Surgical Registered Nurse
Primary
R 189100-1
MN
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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