Misstishin, Lee Ann

Misstishin, Lee Ann is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Misstishin, Lee Ann can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 12453 Minnesota

Profile Details

NPI number 1437672482
LBN Legal business name Misstishin, Lee Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2017
Last updated Jul 21st, 2017 - about 7 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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