Individual provider · Type 1 NPI

Angelique Marie Leist

Family Nurse Practitioner · Louisville, KY

NPI number 1053828145 Active

Practice location

3103 Breckenridge Ln Ste 1
Louisville, KY 40220

Call (501) 495-5055 Map

Fax (502) 495-5057

Other practice locations

  • 1265 Goss Ave, Louisville, KY 40217-2271 · (502) 873-1260

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3012004 (KY)
Registered Nurse 163W00000X1146850 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1053828145

Angelique Marie Leist's National Provider Identifier is 1053828145, issued on Jan 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Nov 27, 2023.