Individual
SHANNON MARIE LEININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 N NOKOMIS ST, ALEXANDRIA, MN 56308-5118
(320) 762-0766
Mailing address
503 N NOKOMIS ST, ALEXANDRIA, MN 56308-5118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6572
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6572
—
MN
Enumeration date
12/16/2019
Last updated
03/31/2025
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