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Individual

MRS. LINDA M LEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
250 S MAIN ST, COLVILLE, WA 99114-2408
(509) 684-7924
Mailing address
250 S MAIN ST, COLVILLE, WA 99114-2408
(404) 834-4397

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP61155025
WA
363LF0000X
Family Nurse Practitioner
Primary
RN216502
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP61155025
ARNP
WA
01
RN216502
BOARD OF NURSING
GA
Enumeration date
10/14/2018
Last updated
05/06/2021
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