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ANGELIQUE LEIST
Family Nurse Practitioner
NPI: 1053828145IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
3012004(KY)
Registered Nurse
Registered Nurse
Code: 163W00000X
1146850(KY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2015
Contact & Hours
Via practice · 2 locations total
- Address
- 3103 BRECKENRIDGE LN STE 1
LOUISVILLE, KY 40220 - Phone
- (501) 495-5055
Quick Facts
- NPI
- 1053828145
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 11
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