Individual provider · Type 1 NPI
Kathy Lynn Leist
Family Nurse Practitioner · Ypsilanti, MI
NPI number
1083866255
Active
Practice location
5333 Mcauley Dr
Ypsilanti, MI 48197-1014
Mailing address
23046 Fairlane Blvd
Woodhaven, MI 48183-1688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704164321 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083866255
Kathy Lynn Leist's National Provider Identifier is 1083866255, issued on Oct 18, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ypsilanti, MI. The record was last updated on Oct 18, 2008.