Agneberg, Leah Nicole

Agneberg, Leah Nicole is an individual health care provider with primary practice located at 8100 W 78Th St Ste 230 , Edina MN 55439-2570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Agneberg, Leah Nicole can be contacted via phone (952) 946-9777.

Contact Information

Primary practice address
8100 W 78Th St Ste 230 Edina MN 55439-2570
Phone: (952) 946-9777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12970 Minnesota

Profile Details

NPI number 1720547920
LBN Legal business name Agneberg, Leah Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated Nov 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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