Most Relevant Information
Provider Data
| NPI Number: | 1003639295 |
| Provider Name: | CEISHA LEINGANG RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R29730 |
Most Important Dates
| Enumeration Date: | 11/05/2024 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
2101 ELM ST N
FARGO
ND
581022417
Practice Location Phone/Fax
| Phone: | 7012552048 |
| Fax: |
Provider Mailing Location
304 E BROADWAY AVE RM 353
BISMARCK
ND
585014082
Provider Mailing Phone/Fax
| Phone: | 7012552048 |
| Fax: | 7012552066 |