LEONELLE YOKE EBANJA (NPI# 1538577499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538577499 |
| Entity Type | Individual |
| Full Name | LEONELLE YOKE EBANJA |
| Credential | RN, CNP |
| Practice Address |
1504 White Bear Ave N Saint Paul MN 55106-1606 |
| Mailing Address |
5615 150th St N Hugo MN 55038-3535 |
| Practice Telephone | 6517712513 |
| Practice Fax Number | 6517712514 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 218747-1 | MN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6867 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Godward St Ne, Minneapolis, MN 554131741 | 6123534669 | 6123542403 |
| Street Address |
1504 WHITE BEAR AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346358371 | Paokou Marcus Yang | Podiatrist | 1504 White Bear Ave N, Saint Paul, MN 55106-1622 | 2006-08-29 |
| 1538234364 | Foot & Ankle Medical Clinic, P.a. | Podiatrist | 1504 White Bear Ave N, Saint Paul, MN 55106-1622 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535426 | Chesley Stanley | Nurse Practitioner | 3113 Fletcher Dr, Saint Paul, VA 24283-3763 | 2020-07-13 |
| 1568002160 | Amazing Grace Health | Nurse Practitioner | 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 | 2020-01-10 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1710403118 | Liv-on Family Care Center, Pa | Nurse Practitioner | 1210 County Road J Ste 102, Saint Paul, MN 55127-6826 | 2017-08-17 |
| 1225588668 | Katie-anne Swenson | Nurse Practitioner | 2550 University Ave W Ste 325s, Saint Paul, MN 55114-1903 | 2016-10-10 |
| 1619329133 | Lamin Jaiteh | Nurse Practitioner | 2550 University Ave W Ste 325-s, Saint Paul, MN 55114-1052 | 2016-07-08 |
| 1457746281 | Florence Fon | Nurse Practitioner | 5 County Road B E Ste 3, Saint Paul, MN 55117-1945 | 2015-03-30 |
| 1639576994 | Angela Denise Lentz | Nurse Practitioner | 178 9th St E Ste 300, Saint Paul, MN 55101-2577 | 2014-12-01 |
| 1548506405 | Mandi Sue Counters | Nurse Practitioner | 14635 Pennock Ave Ste 200, Saint Paul, MN 55124-6587 | 2012-12-21 |
| 1528315470 | Amanda Jeanne Carroll | Nurse Practitioner | 1358 Kent St, Saint Paul, MN 55117-4226 | 2012-08-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on LEONELLE YOKE EBANJA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.