person
Michele Leidholm, FNP
Family Nurse Practitioner in Underwood, North Dakota
NPI 1417942335

Michele Leidholm is a Family Nurse Practitioner based in Underwood, ND and is specialized in Family. Michele Leidholm practices in Underwood, ND and has the professional credentials of FNP. The NPI Number for Michele Leidholm is 1417942335 and holds a License No. R25469 (North Dakota).

The current practice location address for Michele Leidholm is 87 Lincoln Ave, Underwood, ND and can be reached out via phone at 701-442-3148 and via fax at 701-442-3414.

Location: 87 Lincoln Ave, Underwood, ND, 58576-0253
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Provider Profile Details
NPI Number
1417942335
Provider Name
Michele Leidholm
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
87 Lincoln Ave, Underwood, ND, 58576-0253
Phone Number
701-442-3148
Fax Number
701-442-3414
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19621 05 ND
A63211046001 01 PREFERRED ONE
P00065098 01 RR MEDICARE
023494 01 ND BCBS
004 01 AMERICA'S PPO
025502 01 ND BCBS
institution
Provider Business Practice Location Address Details
Address
87 Lincoln Ave
City
State
Zip
58576
Phone Number
701-442-3148
Fax Number
701-442-3414
person
Provider Business Mailing Address Details
Address
87 Lincoln Ave
City
State
Zip
58576
Phone Number
701-442-3148
Fax Number
701-442-3414
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R25469 (North Dakota)
Definition
Definition to come...
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