Mai Yang Leichtle

Nurse Practitioner · Roseville, MN

Individual Active NPI

NPI number 1053065391

Practice location

2350 Cleveland Ave N
Roseville, MN 55113-2701
Phone
(651) 757-0187

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NPI record

NPI
1053065391
Entity type
Individual (Type 1)
Enumeration date
February 6, 2022
Last updated
October 10, 2023
Certified
October 10, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 9091 MN
Registered Nurse 163W00000X 2040767 MN

Mailing address

336 Parkview Ct S
Maplewood, MN 55119-6916
Phone
(651) 757-0187

Other practice locations (1)

  • 15251 Pleasant Valley Rd, Center City, MN 55012-9640 · (877) 793-5205

About Mai Leichtle

Mai Yang Leichtle is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2350 Cleveland Ave N, Roseville, MN 55113-2701. The NPI number 1053065391 was assigned on February 6, 2022 and the record was last updated on October 10, 2023.

Mai Leichtle lists 2 licenses in the registry: #9091 (MN) for Nurse Practitioner; #2040767 (MN) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mai Yang Leichtle?

The NPI number is 1053065391.

What is the phone number of Mai Leichtle?

The phone number listed for the practice location is (651) 757-0187.

Where is Mai Leichtle located?

2350 Cleveland Ave N, Roseville, MN 55113-2701.

What is the taxonomy code for Mai Leichtle?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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