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CAROLYN ELIZABETH LEACH CNP

Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1861729204
Provider Type
Individual Provider (NPI-1)
Credentials
CNP
Status
Active

Contact & Location

Address
345 SMITH AVE N, SAINT PAUL, MN, 551022346
Phone
(651) 220-6624
Fax
(651) 220-6064

Specialties & Taxonomies

Nurse Practitioner, Pediatrics Primary License: MN #R156707-6

All Addresses

MAILING

5901 LINCOLN DR CBC-2-REV/PE

EDINA, MN, 554361611

(651) 220-6624

LOCATION

345 SMITH AVE N

SAINT PAUL, MN, 551022346

(651) 220-6624