Individual
LESLIE MACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,RNFA
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE CLINIC 3B, MINNEAPOLIS, MN 55455
(612) 625-3600
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-118979-7
MN
363L00000X
Nurse Practitioner
Primary
R-118979-7
MN
Other
Enumeration date
06/16/2006
Last updated
11/10/2020
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