Individual provider · NPI-1

Leeanna East

Registered Nurse, General Practice · Waukesha, WI

NPI number1760076384
StatusActive
Last updated in NPPESFeb 24, 2021

Details

NPI
1760076384
Entity type
Individual (NPI-1)
Name
Leeanna East
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 24, 2021
Certification date
Feb 5, 2021
Last updated
Feb 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice103599-30WIYes

Practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Mailing address

S34w34651 County Road C
Dousman, WI 53118-9635

Other practice locations

514 Riverview Ave
Waukesha, WI 53188-3631

Phone 262-933-3680

514 Riverview Ave
Waukesha, WI 53188-3631

Phone 262-933-3680

514 Riverview Ave
Waukesha, WI 53188-3631
514 Riverview Ave
Waukesha, WI 53188-3631
S34w34651 County Road C
Dousman, WI 53118-9635
S34w34651 County Road C
Dousman, WI 53118-9635
514 Riverview Ave
Waukesha, WI 53188-3631
514 Riverview Ave
Waukesha, WI 53188-3631
514 Riverview Ave
Waukesha, WI 53188-3631
514 Riverview Ave
Waukesha, WI 53188-3631

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