Individual
NATHAN LEIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3062
Mailing address
600 N 5TH ST STE 205, MINNEAPOLIS, MN 55401-1268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2427885
MN
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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