| Doctor Name: | LESLIE ANNE BETTERMAN |
| NPI Number: | 1053558064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1241 |
| Business Practice Address: | 550 Osborne Rd Ne Fridley, MN - 554322718 |
| Business Phone Number: | 7632363518 |
| Business Fax Number: | |
| Mailing Address: | 9351 Hyland Creek Cir, BLOOMINGTON |
| State: | MN |
| Postal Code: | 554371958 |
| Phone Number: | 9522404318 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |