Individual
RITA M. LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
770 LINCOLN AVE, SUITE 2, FENNIMORE, WI 53809-1562
(608) 572-3494
(608) 822-3812
Mailing address
770 LINCOLN AVE, SUITE 2, FENNIMORE, WI 53809-1562
(608) 572-3494
(608) 822-3812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4062-33
WI
Other
Enumeration date
08/20/2010
Last updated
10/17/2016
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