Individual
LEAH MARIE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP, AGNP
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9511
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9511
MN
363LP2300X
Primary Care Nurse Practitioner
9511
MN
Other
Enumeration date
07/02/2022
Last updated
05/01/2026
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