Individual provider · Type 1 NPI
Robert Leysaht, APN
Nurse Practitioner · Peoria, IL
Practice location
10408 N Centerway Dr
Peoria, IL 61615-1234
Mailing address
313 Monterey Dr
Washington, IL 61571-2946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209020786 (IL) |
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…
2 other providers at this address
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About NPI 1265064612
Robert Leysaht, APN's National Provider Identifier is 1265064612, issued on Feb 4, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 4, 2020.