Individual
TANIA TERESA LEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
6025 W LAPHAM ST, WEST ALLIS, WI 53214-5020
(414) 640-6605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11878-33
WI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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