Individual
CASANDRA MARIET LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(360) 660-5259
Mailing address
18806 SE 12TH WAY, VANCOUVER, WA 98683-9646
(360) 660-5259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60666138
WASHINGTON STATE ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
Enumeration date
04/26/2007
Last updated
09/16/2020
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