Individual
REGINA MARTHA STELTER LEEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
600 EAST ST, ELKHART, IN 46514
(574) 294-2621
Mailing address
309 PARK ST, POYNETTE, WI 53955-8965
(608) 697-1106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6305 - 33
WI
363LF0000X
Family Nurse Practitioner
Primary
71005790A
IN
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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