Individual
SHAWNA LEISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 713-3678
Mailing address
615 9TH AVE W, WILLISTON, ND 58801-4818
(701) 713-3678
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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