person
Ivy E Leasum, NP
Family Nurse Practitioner in De Pere, Wisconsin
NPI 1295925824

Ivy E Leasum is a Family Nurse Practitioner based in De Pere, WI and is specialized in Family. Ivy E Leasum practices in De Pere, WI and has the professional credentials of NP. The NPI Number for Ivy E Leasum is 1295925824 and holds a License No. 3141-33 (Wisconsin).

The current practice location address for Ivy E Leasum is 320 N Wisconsin St, De Pere, WI and can be reached out via phone at 920-327-7056.

Location: 320 N Wisconsin St, De Pere, WI, 54115-2737
person
Provider Profile Details
NPI Number
1295925824
Provider Name
Ivy E Leasum
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
320 N Wisconsin St, De Pere, WI, 54115-2737
Phone Number
920-327-7056
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
320 N Wisconsin St
City
State
Zip
54115-2737
Phone Number
920-327-7056
Fax Number
person
Provider Business Mailing Address Details
Address
320 N Wisconsin St
City
State
Zip
54115-2737
Phone Number
920-327-7056
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3141-33 (Wisconsin)
Definition
Definition to come...
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