Individual
MRS. CRYSTAL DAWN LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
107 S 8TH ST, MARYSVILLE, KS 66508
(785) 619-6078
(785) 619-6083
Mailing address
714A BROADWAY, MARYSVILLE, KS 66508-1842
(785) 619-6078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
78446
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
78446
KS
Other
Enumeration date
10/22/2018
Last updated
02/07/2026
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