Leisha Walth

NPI 1750796165 - Registered Nurse - 163W00000X

NPI Details
NPI 1750796165
Gender Female
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1200 COLLINS AVE
MANDAN ND, 58554-2067, US
Phone (701) 663-5373
Fax
Business Location
1200 COLLINS AVE
MANDAN ND, 58554-2067, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State North Dakota
License Number R22106
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According to our database, Leisha Walth NPI is 1750796165, taxonomy code is 163W00000X and license number is R22106, license state is located at North Dakota. Leisha Walth physically located at 1200 Collins Ave, Mandan ND, 58554-2067. NPI Number Leisha Walth has the Individual type.

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1750796165 NPI number is provided on an as is basis without warranty of any kind. 1750796165 is maintained by the National Plan & Provider Enumeration System. The contents of Leisha Walth are for informational purposes only.