Individual provider · Type 1 NPI
Kelly Marie Leach, FNP-C
Family Nurse Practitioner · Grand Forks, ND
NPI number
1972836385
Active
Practice location
1300 S Columbia Rd
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R156241-1 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | R29405 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972836385
Kelly Marie Leach, FNP-C's National Provider Identifier is 1972836385, issued on Sep 16, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Forks, ND. The record was last updated on Feb 28, 2019.