Provider Demographics
NPI:1669246732
Name:LEO, MIKAYLA ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:ANNE
Last Name:LEO
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:2213 26TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009
Mailing Address - Country:US
Mailing Address - Phone:515-868-8714
Mailing Address - Fax:
Practice Address - Street 1:405 MONROE ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1189
Practice Address - Country:US
Practice Address - Phone:641-621-2200
Practice Address - Fax:641-628-7241
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2025-04-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant