Individual provider · Type 1 NPI

Crystal Dawn Leis, PMHNP

Family Nurse Practitioner · Largo, FL

NPI number 1942776596 Active

Practice location

13670 Walsingham Rd
Largo, FL 33774-3532

Mailing address

714A Broadway
Marysville, KS 66508-1842

Other practice locations

  • 714A Broadway, Marysville, KS 66508-1842 · (785) 619-6720
  • 107 S 8th St, Marysville, KS 66508-1831 · (785) 619-6720

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN11017616 (FL)
Family Nurse Practitioner Primary 363LF0000X78446 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1942776596

Crystal Dawn Leis, PMHNP's National Provider Identifier is 1942776596, issued on Oct 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Largo, FL. The record was last updated on Sep 28, 2026.