Individual
LEIGH A MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3447
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4434
WI
363LF0000X
Family Nurse Practitioner
4434-33
WI
363LF0000X
Family Nurse Practitioner
4704284052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285921353
—
WI
Enumeration date
07/08/2011
Last updated
08/19/2021
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