Healthcare Provider Details

I. General information

NPI: 1922947530
Provider Name (Legal Business Name): ABBEY ELIZABETH LEIKVOLL DNP, APRN, PHMNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 2ND AVE SE
CAMBRIDGE MN
55008-1602
US

IV. Provider business mailing address

145 2ND AVE SE
CAMBRIDGE MN
55008-1602
US

V. Phone/Fax

Practice location:
  • Phone: 320-496-4663
  • Fax:
Mailing address:
  • Phone: 320-496-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12656
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: