Individual
MICHELLE LEITHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 S KING ST, LAURINBURG, NC 28352-3704
(910) 690-4149
Mailing address
418 S KING ST, LAURINBURG, NC 28352-3704
(910) 276-7570
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
232757
NC
363LF0000X
Family Nurse Practitioner
Primary
5015202
NC
Other
Enumeration date
01/14/2021
Last updated
07/27/2023
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