person
Leah A Mydlach, APNP
Family Nurse Practitioner in Milwaukee, Wisconsin
NPI 1780279109

Leah A Mydlach is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Leah A Mydlach practices in Milwaukee, WI and has the professional credentials of APNP. The NPI Number for Leah A Mydlach is 1780279109 and holds a License No. 10511 (Wisconsin).

The current practice location address for Leah A Mydlach is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-955-0313 and via fax at 414-259-1145.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1780279109
Provider Name
Leah A Mydlach
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-955-0313
Fax Number
414-259-1145
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780279109 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-0313
Fax Number
414-259-1145
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-955-0313
Fax Number
414-259-1145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10511 (Wisconsin)
Definition
Definition to come...
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