| Doctor Name: | LEAH AYN MERGEN |
| NPI Number: | 1023389392 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 1417 S. Cliff Ave. Ste. 101a Sioux Falls, SD - 571051063 |
| Business Phone Number: | 6053226700 |
| Business Fax Number: | 6053226701 |
| Mailing Address: | 2400 S Minnesota Ave, Ste 100 SIOUX FALLS |
| State: | SD |
| Postal Code: | 571053761 |
| Phone Number: | 6053237510 |
| Fax Number: | 6053226475 |
| NPI Enumeration Date: | 01/19/2012 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |