Individual provider · Type 1 NPI
Brielle Mickela Leister
Pediatric Nurse Practitioner · Matthews, NC
NPI number
1124890454
Active
Practice location
10806 Monroe Rd
Matthews, NC 28105-7305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5019105 (NC) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Matthews
About NPI 1124890454
Brielle Mickela Leister's National Provider Identifier is 1124890454, issued on Oct 30, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Matthews, NC. The record was last updated on Aug 4, 2024.