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Individual

ALEXANDRIA A LEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
(712) 396-4340
(712) 396-4180
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112736
NE
363L00000X
Nurse Practitioner
Primary
A153865
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112736
IA
05
47068731712
NE
Enumeration date
02/13/2019
Last updated
04/12/2019
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