NPI 1053065391

Mai Yang Leichtle

Practitioner Nurse Practitioner Roseville, MN

Practice location

Address: 2350 Cleveland Ave N, Roseville, MN 55113-2701
Phone: (651) 757-0187
Mailing address: 336 Parkview CT S, Maplewood, MN 55119-6916

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 9091 (MN)

Other Nurse Practitioner providers in Minnesota →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 2040767 (MN)

Other Registered Nurse providers in Minnesota →

Registry record

NPI: 1053065391
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2022
Record last updated: 10 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.