Individual provider · Type 1 NPI

Leah Marie Desantis, DNP, CNP, AGNP

Gerontology Nurse Practitioner · Stillwater, MN

NPI number 1841923307 Active

Practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Fax (651) 342-1428

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X9511 (MN)
Primary Care Nurse Practitioner 363LP2300X9511 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X9511 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1841923307

Leah Marie Desantis, DNP, CNP, AGNP's National Provider Identifier is 1841923307, issued on Jul 2, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stillwater, MN. The record was last updated on May 1, 2026.