Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Coralia Ilinca Leyderman, PA-C

Individual provider Physician Assistant · NPI 1124426812

Mrs. Coralia Ilinca Leyderman, PA-C is a Physician Assistant in Wentzville, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385-3814
Phone: (636) 332-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Vista Ave, Saint Louis, MO 63110-2539 — (314) 577-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2014025990 (MO)

Record details

NPI number1124426812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 11, 2014
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

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