Individual
ILLIA MAI LEIBERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8735 STATE ROAD 37 STE B, TELL CITY, IN 47586-8349
(812) 547-9663
(812) 772-2871
Mailing address
8735 STATE ROAD 37 STE B, TELL CITY, IN 47586-8349
(812) 547-9663
(812) 772-2871
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71011859A
IN
Other
Enumeration date
09/04/2021
Last updated
05/01/2024
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