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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEIGH-DEMETRA NICKLOW, LADC, SC-C

Active

LEIGH-DEMETRA NICKLOW, LADC, SC-C is a Student (Health Education/Training) healthcare provider located in CENTER CITY, Minnesota. NPI 1831065895 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · CENTER CITY, MN

Registration Details

NPI Number
1831065895
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2025 (0.79821545559643 yrs)
Last Updated
Oct 15, 2025
License
306810 (MN)

Practice Information

Address
15251 PLEASANT VALLEY RD
CENTER CITY, MN, 550129640
Browse MN providers · Browse ZIP 55012
Phone
6512134075
Fax
6512134888
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in CENTER CITY, MN

Name Credential NPI
SARA JEAN GIACHINO M.A. 1013065564
ANNA RENETTA PETERS 1568513638
CANDANCE LUCHETTA BLAKE BA 1770735912
RUTH DEIRDRE BRENNAN MORREY MS 1598919813
MS. TERRI LYNN JASHINSKY 1396999611
THOMAS JAMES WHITE M.S. 1730418120
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.