Individual
MS. LESLIE L. TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3360
(414) 266-3563
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
83310
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
83310
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003092420
—
WI
Enumeration date
01/16/2008
Last updated
10/06/2014
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