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SHANNON MARIE LEININGER

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1811535347

Individual Registrant:
 SHANNON MARIE LEININGER 
Gender: F
Sole Proprietor

Location and contact information for practice:
199 PINE AVE  MILTONA, MN 56354-4505 US
Tel: 320-304-9634  Fax: --

Contact information for business:
199 PINE AVE  MILTONA, MN 56354-4505 US
Tel: --  Fax: --

Registration Information:
NPI: 1811535347
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MN6572

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
6572MN05




HEALTH CARE JOBS MN - Page 1



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