Provider Demographics
NPI:1952063703
Name:LEACH, ERIN E (CNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:E
Last Name:LEACH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:E
Other - Last Name:KNASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 SMITH AVE N STE 500
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2545
Mailing Address - Country:US
Mailing Address - Phone:612-751-8999
Mailing Address - Fax:
Practice Address - Street 1:225 SMITH AVE N STE 500
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2545
Practice Address - Country:US
Practice Address - Phone:651-241-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-08
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8627363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care