Physician Compare National (NPI:1285865659)

HEALTHCARE PROVIDER: SUZANNE K LELAND CNP, APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285865659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355489766
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091104000723
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LELAND
	Individual professional last name
Provider First Name	SUZANNE
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MINUTECLINIC DIAGNOSTIC PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022082569
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	65
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2800 HWY 10 NE
	Group Practice or individual's line 1 address
Line 2 Street Address	CVS PHARMACY
	Group Practice or individual's line 2 address
City	MOUNDSVIEW
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	551124045
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7637801549
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y