MEDICARE: LEAH ALEXIS ARNTSON APRN, CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	215407932279	MN
2	363LF0000X	Family Nurse Practitioner	9263	MN

General Provider Information

NPI Number	:	1528799277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH ALEXIS ARNTSON APRN, CNP

Provider Business Mailing Address
First Line	:	400 E 3RD ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55805-1951
Country	:	US
Telephone Number	:	218-786-8364
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 CENTRACARE CIR
Second Line	:
City	:	SAINT CLOUD
State	:	MN
Zip	:	56303-5000
Country	:	US
Telephone Number	:	320-252-2422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	02/17/2026

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