Ivy E Leasum is a Family in Green Bay, Wisconsin. Ivy E Leasum practices all healthcare services and medical treatments related to Family. The NPI Number for Ivy E Leasum is 1295925824. The last update date is 2016-10-31.
Ivy E Leasum's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Ivy E Leasum is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ivy E Leasum |
---|---|
Address | Po Box 19070, Green Bay, Wisconsin |
Phone Number | 9204964700 |
Fax Number | |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1295925824 |
---|---|
Provider Enumeration Date | 2007-07-30 |
Last Updated Date | 2016-10-31 |
Provider Mailing Address Detail
Address | Po Box 19070 |
---|---|
City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543079070 |
Phone Number | 9204964700 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
---|---|
Taxonomy | 363Lf0000X |
Licence No | 3141 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Post Comment/ Review Below
What is the unique identifier code issued to Ivy E Leasum by the Centers for Medicare & Medicaid Services?
The Ivy E Leasum has been assigned the NPI (National Provider Identifier) 1295925824. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ivy E Leasum's physical address?
The Ivy E Leasum is physically located at Po Box 19070, in the city of Green Bay, WI, with the postal code 543079070.
What is Ivy E Leasum's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ivy E Leasum is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date was the 1295925824 assigned to Ivy E Leasum?
The Ivy E Leasum was issued its 1295925824 on 2007-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ivy E Leasum most recently updated or revised?
The details related to Ivy E Leasum, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-31.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH