Individual
MS. RACHEL MILLAR LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
510 GRAND AVE APT 203, SAINT PAUL, MN 55102-3378
(218) 343-2029
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 184479-9
MN
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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