Leisa Anne Peterson, APRN is a
Nurse Practitioner - Family based in Antler, North Dakota. Leisa Anne Peterson is licensed to practice in North Dakota (license number 202900) and her current practice location is
2730 100th St Nw, Antler, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 240-2264.
NPI number for Leisa Anne Peterson is 1639068026 and her current mailing address is 2730 100th St Nw, Antler, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639068026.
Provider's Profile
Full Name | Leisa Anne Peterson |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 2730 100th St Nw, Antler, North Dakota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639068026
- Provider Enumeration Date: 06/30/2025
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for Leisa Anne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639068026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 202900 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leisa Anne Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leisa Anne Peterson, APRN 2730 100th St Nw, Antler, ND 58711-9728 Ph: (701) 240-2264 | Leisa Anne Peterson, APRN 2730 100th St Nw, Antler, ND 58711-9728 Ph: (701) 240-2264 |
Reviews and Comments