Individual provider · Type 1 NPI

Mai Yang Leichtle

Nurse Practitioner · Roseville, MN

NPI number 1053065391 Active

Practice location

2350 Cleveland Ave N
Roseville, MN 55113-2701

Mailing address

336 Parkview Ct S
Maplewood, MN 55119-6916

Other practice locations

  • 15251 Pleasant Valley Rd, Center City, MN 55012-9640 · (877) 793-5205

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2040767 (MN)
Nurse Practitioner Primary 363L00000X9091 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1053065391

Mai Yang Leichtle's National Provider Identifier is 1053065391, issued on Feb 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roseville, MN. The record was last updated on Oct 10, 2023.