Adriane Janet Leonard in Fond Du Lac - Physician Assistant

Adriane Janet Leonard - NPI 1083695308

Adriane Janet Leonard is a Physician Assistant in Fond Du Lac, Wisconsin. Adriane Janet Leonard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Adriane Janet Leonard is 1083695308. The last update date is 2020-12-31.

Adriane Janet Leonard's current location address is 430 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209292300 and fax number 9209268370. The mailing address for Adriane Janet Leonard is 430 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Adriane Janet Leonard
Address 430 E Division St, Fond Du Lac, Wisconsin
Phone Number 9209292300
Fax Number 9209268370
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1083695308
Provider Enumeration Date 2005-11-14
Last Updated Date 2020-12-31

Provider Mailing Address Detail

Address 430 E Division St
City Fond Du Lac
State Wisconsin (WI)
Post Code 549354560
Phone Number 9209292300
Fax Number 9209268370

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1804
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13835 WI DEAN
41997400 WI --
800598 WI TOUCHPOINT
P00189988 WI RAILROAD MEDICARE

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FAQs about Adriane Janet Leonard

What is the unique 10-digit identifier code assigned to Adriane Janet Leonard by the Centers for Medicare & Medicaid Services?

The Adriane Janet Leonard has been issued the NPI (National Provider Identifier) 1083695308 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Adriane Janet Leonard is physically located?

The Adriane Janet Leonard is physically situated at the following address: 430 E Division St, Fond Du Lac, WI, 549354560.

What is the Adriane Janet Leonard's specialty and taxonomy code?

The Adriane Janet Leonard's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Adriane Janet Leonard receive its 1083695308 assignment from the Centers for Medicare & Medicaid Services?

The Adriane Janet Leonard was assigned its 1083695308 by the Centers for Medicare & Medicaid Services on 2005-11-14.

When was the information regarding Adriane Janet Leonard, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Adriane Janet Leonard, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-31.

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