Individual
LEANN PETTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10147
MN
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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