HomeNPI Verification

NPI Verification

National Provider Identifier: 1336716505

Anya Rakel De Leeuw, MD

Individual Provider

Credentials

MD

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

5225 23RD AVE S

FARGO, ND 581047927

Phone: 701-234-5933

NPI Enumeration Date

June 7, 2021

NPI Number

1336716505

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Anya De Leeuw, MD - NPI 1336716505 | Provider Verification | HormoneMap