IndividualActive
Leilani Disselkoen
NPI 1245102417 · Student in an Organized Health Care Education/Training Program · Wasilla, AK
Provider details
- NPI number
- 1245102417
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Mailing address
17641 Beaujolais Dr
Eagle River, AK 99577-7515
Registry dates
- Enumerated
- 2025-09-18
- Last updated
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.