Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mai Yang Leichtle

Individual provider Registered Nurse · NPI 1053065391

Mai Yang Leichtle is a Registered Nurse in Roseville, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2350 Cleveland Ave N
Roseville, MN 55113-2701
Phone: (651) 757-0187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15251 Pleasant Valley Rd, Center City, MN 55012-9640 — (877) 793-5205

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9091 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2040767 (MN)

Record details

NPI number1053065391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2022
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address336 Parkview Ct S, Maplewood, MN 55119-6916

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