Individual provider · Type 1 NPI
Charles J. Leistner Iii, APRN
Family Nurse Practitioner · Lawrence, KS
NPI number
1669002978
Active
Practice location
776 E 1485 Rd
Lawrence, KS 66046-9265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 53-79245-121 (KS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669002978
Charles J. Leistner Iii, APRN's National Provider Identifier is 1669002978, issued on Jan 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrence, KS. The record was last updated on Jan 26, 2020.