Leana Tatum
Nurse Practitioner, Family in Milwaukee, WI. Individual provider (NPI-1).
NPI number1831750488
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1831750488
- Entity type
- Individual (NPI-1)
- Name
- Leana Tatum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9270-33 | WI | Yes |
Practice location
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-4600 · Fax 414-805-2934
Mailing address
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-4600 · Fax 414-805-2934
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