Individual
MICHELLE P PITTMAN-LEYENDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
(320) 255-6426
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
(320) 255-6426
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0952637
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704160
MEDICA HEALTH PLANS
—
01
—
078430300
MEDICAL ASSISTANCE
—
01
—
1042819
PREFERRED ONE
—
01
—
113181
U CARE
—
01
—
2210957
ARAZ GROUP
—
01
—
950S2P1
BLUE CROSS BLUE SHIELD
—
01
—
HP47689
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
12/21/2009
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